Section 1 of 3
Student experience survey
PLEASE MAKE A COPY OF THIS SURVEY BEFORE EDITING OR SENDING. TO DO SO, CLICK THE THREE DOTS IN THE UPPER RIGHT HAND CORNER AND SELECT "MAKE A COPY".
Thank you for participating in this survey. We recognize that this is an overwhelming time for many of you and appreciate hearing from you. Your participation is completely voluntary, and we value your feedback.
What is the purpose of this survey?
This survey collects your feedback so that our school and district leaders can understand and respond to your needs during the ongoing COVID-19 pandemic.
Who will see my responses?
Your responses are completely anonymous. They will be combined with other responses to help us understand what is happening in our community right now.
How do I take the survey?
The survey takes approximately 5-7 minutes to complete. Your answers will only be saved when you click “Submit” on the last page. Please respond to each question honestly and feel free to skip any questions or select “N/A” for any questions you don’t feel able to answer.
Can I take the survey more than once?
Yes. Given the changing landscape of our community amid this pandemic, we want to learn about your recent
experiences. We encourage you to complete the survey regularly.
Thank you for participating in this survey. We recognize that this is an overwhelming time for many of you and appreciate hearing from you. Your participation is completely voluntary, and we value your feedback.
What is the purpose of this survey?
This survey collects your feedback so that our school and district leaders can understand and respond to your needs during the ongoing COVID-19 pandemic.
Who will see my responses?
Your responses are completely anonymous. They will be combined with other responses to help us understand what is happening in our community right now.
How do I take the survey?
The survey takes approximately 5-7 minutes to complete. Your answers will only be saved when you click “Submit” on the last page. Please respond to each question honestly and feel free to skip any questions or select “N/A” for any questions you don’t feel able to answer.
Can I take the survey more than once?
Yes. Given the changing landscape of our community amid this pandemic, we want to learn about your recent
experiences. We encourage you to complete the survey regularly.
What is the name of your school?
What is the name of your school?
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
New
Multiple choice grid
Checkbox grid
Date
Time
Number
Text
Length
Regular expression
Greater than
Greater than or equal to
Less than
Less than or equal to
Equal to
Not equal to
Between
Not between
Is number
Whole number
Answer key
(0 points)
Loading...
What grade levels does your school serve? Please select the option that best describes your school.
What grade levels does your school serve? Please select the option that best describes your school.
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
New
Multiple choice grid
Checkbox grid
Date
Time
1.
Pre-K (0-K)
2.
Elementary (K-6 or a subset)
3.
Middle (6-9 or a subset)
4.
High (9-12 or a subset)
5.
Elementary/Middle (K-8/9)
6.
Middle/High (6/7-12)
7.
All Grades (K-12)
8.
Other
9.
Add option
…
Answer key
(0 points)
Loading...
Section 2 of 3
Basic Needs
How are you feeling today? (Select one)
How are you feeling today? (Select one)
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
New
Multiple choice grid
Checkbox grid
Date
Time
Great
Good
Okay
Not okay
Bad
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
How supported do you feel by your school? (Select one)
How supported do you feel by your school? (Select one)
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
New
Multiple choice grid
Checkbox grid
Date
Time
Very supported
Supported
Somewhat supported
Not at all supported
I’m not sure
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
In the last week, I exercised and/or went outside…
In the last week, I exercised and/or went outside…
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
New
Multiple choice grid
Checkbox grid
Date
Time
A few times a day
Once a day
A few times a week
Once a week
N/A – I have not exercised or gone outside in the last week
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
In the last week, I read books, magazines, the news, or other stories…
In the last week, I read books, magazines, the news, or other stories…
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
New
Multiple choice grid
Checkbox grid
Date
Time
A few times a day
Once a day
A few times a week
Once a week
N/A – I have not read in the last week.
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
Middle/High and High School Only. Where are your schoolwork assignments coming from? (Select the top two)
Middle/High and High School Only. Where are your schoolwork assignments coming from? (Select the top two)
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
New
Multiple choice grid
Checkbox grid
Date
Time
My teacher(s)
My parent(s) and/or guardian(s)
My district/network website
Websites recommended by my teacher, school, or district/network (e.g., Scholastic)
Assignments I have found on my own
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
Section 3 of 3
Student Learning
Please tell us how true the following statements are for you:
Please tell us how true the following statements are for you:
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
New
Multiple choice grid
Checkbox grid
Date
Time
True
Mostly True
Not True
N/A – This question is not relevant to me
I know what assignments I should be focused on
I know how to get in touch with my teacher(s)
If I need support with learning, I know who I need to contact and how I can get in touch with them.
I feel like I will be prepared for the next school year
Rows
1.
I know what assignments I should be focused on
2.
I know how to get in touch with my teacher(s)
3.
If I need support with learning, I know who I need to contact and how I can get in touch with them.
4.
I feel like I will be prepared for the next school year
5.
Add row
Columns
True
Mostly True
Not True
N/A – This question is not relevant to me
Add column
…
Answer key
(0 points)
Loading...
In the last week, I talked (including through email, text, phone, video) to my teacher(s):
In the last week, I talked (including through email, text, phone, video) to my teacher(s):
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
New
Multiple choice grid
Checkbox grid
Date
Time
A few times a day
Once a day
A few times a week
Once a week
N/A – I have not talked to my teacher(s) in the last week
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
In the last week, I talked (including through email, text, phone, video) to other students in my class(es) about schoolwork:
In the last week, I talked (including through email, text, phone, video) to other students in my class(es) about schoolwork:
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
New
Multiple choice grid
Checkbox grid
Date
Time
A few times a day
Once a day
A few times a week
Once a week
N/A – I have not talked to other students in my class(es) in the last week
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
In the last week, I talked (including through email, text, phone, video) to friends and family outside my household:
In the last week, I talked (including through email, text, phone, video) to friends and family outside my household:
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
New
Multiple choice grid
Checkbox grid
Date
Time
A few times a day
Once a day
A few times a week
Once a week
N/A – I have not talked to friends or family outside my household in the last week
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
Do you have access to a device (e.g., laptop, tablet) that you can use to participate in daily online learning?
Do you have access to a device (e.g., laptop, tablet) that you can use to participate in daily online learning?
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
New
Multiple choice grid
Checkbox grid
Date
Time
Yes
No
N/A – We don’t have online learning
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
Do you have Internet access (Wi-Fi) that you can use to participate in daily online learning?
Do you have Internet access (Wi-Fi) that you can use to participate in daily online learning?
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
New
Multiple choice grid
Checkbox grid
Date
Time
Yes
No
N/A – We don’t have online learning
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
Tell us about the difficulty of your schoolwork assignments. In the last week, my schoolwork assignments have been:
Tell us about the difficulty of your schoolwork assignments. In the last week, my schoolwork assignments have been:
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
New
Multiple choice grid
Checkbox grid
Date
Time
Too difficult
Just right
Too easy
N/A – I haven’t been given any schoolwork assignments.
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
Tell us about how your teacher(s) have helped you through these assignments. In the last week, my teacher(s) have:
Tell us about how your teacher(s) have helped you through these assignments. In the last week, my teacher(s) have:
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
New
Multiple choice grid
Checkbox grid
Date
Time
Given me enough instruction to complete my assignments
Given me some instruction, but not enough to complete my assignments
Not given me enough instruction to complete my assignments
N/A – I haven’t been given any schoolwork assignments
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
Tell us about the amount of schoolwork you have been assigned. In the last week, there have been:
Tell us about the amount of schoolwork you have been assigned. In the last week, there have been:
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
New
Multiple choice grid
Checkbox grid
Date
Time
Too many schoolwork assignments
Just the right number of schoolwork assignments
Too few schoolwork assignments
N/A – I haven’t been given any schoolwork assignments
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
In the last week, I spent ___ hours per day on schoolwork
In the last week, I spent ___ hours per day on schoolwork
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
New
Multiple choice grid
Checkbox grid
Date
Time
0
1
2
3
4
5
6
7+
I’m not sure
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
What is the biggest barrier to learning or completing your schoolwork? (Select up to three)
What is the biggest barrier to learning or completing your schoolwork? (Select up to three)
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
New
Multiple choice grid
Checkbox grid
Date
Time
I don’t have Internet access (Wi-Fi connectivity)
I don’t have a device (e.g., laptop or tablet)
I don’t have a quiet place to complete my schoolwork
I don’t have time to complete my schoolwork
I am not sure what I am supposed to do
I have other responsibilities or needs to attend to
N/A – I haven’t run into any barriers learning or completing my schoolworK
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
Is there anything else you want to share about your experience with school this spring, or your feelings and thoughts about this coming school year?
Is there anything else you want to share about your experience with school this spring, or your feelings and thoughts about this coming school year?
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
New
Multiple choice grid
Checkbox grid
Date
Time
Answer key
(0 points)
Loading...
Link to Sheets
Message for respondents
This form is no longer accepting responses
Summary
Question
Individual
Insights
Total points distribution
Loading...
Settings
Responses
Manage how responses are collected and protected
Presentation
Manage how the form and responses are presented
Defaults
Form defaults
Settings applied to this form and new forms
Question defaults
Settings applied to all new questions