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Student Survey for Safety and Connection
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What grade are you in?
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Do you feel you get enough sleep most nights?
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Explain if you feel comfortable
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Are you getting some exercise each day or a few times a week?
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Explain if you feel comfortable
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Do you feel you drink plenty of water each day (4-6 glasses)?
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Explain if you feel comfortable
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Do you spend time outdoors?
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Explain if you feel comfortable
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Have you created relationships with adults you trust this year?
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Explain if you feel comfortable
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Have you created good relationships with other students this year?
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Explain if you feel comfortable
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This school is a safe and secure place.
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Explain if you feel comfortable
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I feel connected to a few of the teachers in my building.
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Explain if you feel comfortable
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I feel everyone is treated with respect, even though we all make mistakes and have off days.
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Explain if you feel comfortable
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I feel everyone in the classroom seems relaxed and we are learning.
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Explain if you feel comfortable
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Are you using strategies this year to help keep your emotions calm?
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Explain if you feel comfortable
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Do you have someone in your family you can go to when you are upset?
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Explain if you feel comfortable
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Do you feel you resolve conflicts peacefully?
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Explain if you feel comfortable
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Do you feel the adults in the school know how to resolve conflicts peacefully?
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Explain if you feel comfortable
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Do you feel you stand up for yourself when you need to?
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Explain if you feel comfortable
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Do you know how to care for yourself when people are picking on you?
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Explain if you feel comfortable
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Do some or all of these interfere with your learning and how you feel each day?
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My teacher and the other adults in my school make sure that I am feeling successful, and when I am not, they help me!
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Explain if you feel comfortable
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In my school teachers emphasize our strengths and pay attention to our interests. They want to know what I like and what I am good at!
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Explain if you feel comfortable
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My school and teachers pay attention to how I feel and that I feel safe and connected to others when I am at school.
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Explain if you feel comfortable
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I feel that learning about my brain and nervous system has been or would be helpful.
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Explain if you feel comfortable
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What are two or three things you feel would help you feel successful at school?
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What are two or three changes you would like to see in your school?
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What is something you wish your teachers knew or understood about you?
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