3-5: Does your school need Respectful Ways?
There are 20 questions below, each pointing to the 20 different courses we offer for 3rd-5th grade. Take this brief survey and we’ll be in touch to discuss how Respectful Ways can meet your 3rd-5th grade students' needs.

SCALE INFORMATION:
1 = NO UNDERSTANDING /// 5 = SOME UNDERSTANDING /// 10 = FULL UNDERSTANDING/NOT A PROBLEM AT ALL.    
Add any additional information in the Comments section at the bottom.
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Email *
Your Name and Job Title *
Name of School, After-School Program or District, including town and state: *
Phone number: *
Are you taking this Survey for Tier 2 & Tier 3 students or general population Tier 1? *
It can take two to three weeks to complete a module, depending on school schedule. How many modules would you like Respectful Ways to prioritize for you? *
1) On a scale of 1 to 10, our students understand and appreciate differences in others.
Clear selection
2) On a scale of 1 to 10, our students sometimes hurt the feelings of their classmates by teasing them.
Clear selection
3) On a scale of 1 to 10, our students are comfortable being their authentic selves.
Clear selection
4) On a scale of 1 to 10, our students understand why courtesy matters and how to show it.
Clear selection
5) On a scale of 1 to 10, our students use kind words when speaking to others.
Clear selection
6) On a scale of 1 to 10, our students think it’s cool to be smart.
Clear selection
7) On a scale of 1 to 10, our students know several creative ways to battle boredom.
Clear selection
8) On a scale of 1 to 10, our students understand how to handle anxiety and stress.
Clear selection
9) On a scale of 1 to 10, our students tend to give up easily when faced with a challenge.
Clear selection
10) On a scale of 1 to 10, our students understand the five stages of grief.
Clear selection
11) On a scale of 1 to 10, our students understand the difference between friendly and hurtful teasing.
Clear selection
12) On a scale of 1 to 10, our students understand how to show respect to others, no matter their station in life.
Clear selection
13) On a scale of 1 to 10, our students understand how to communicate well and get along with others.
Clear selection
14) On a scale of 1 to 10, our students understand what it means to be a good citizen.
Clear selection
15) On a scale of 1 to 10, our students understand the importance of delayed gratification.
Clear selection
16) On a scale of 1 to 10, our students can come up with solutions to problems by themselves.
Clear selection
17) On a scale of 1 to 10, our students know how to calm themselves and know how to be the best version of themselves.
Clear selection
18) On a scale of 1 to 10, our students understand the importance of setting and achieving goals.
Clear selection
19) On a scale of 1 to 10, our students understand that positivity is a choice.
Clear selection
20) On a scale of 1 to 10, our students understand that the habits they form today-- healthy or unhealthy-- could affect the rest of their lives.
Clear selection
Please list existing Character Education theme weeks/months your school partakes in. We can pick logical Respectful Ways modules to blend in and support your existing programming.
Are there any other specific issues you'd like addressed?
A Respectful Request! Respectful Ways hosts Professional Development workshops and we need your ideas: What SEL issues or topics can we cover to help you do your job?
***Thank you for your response! We will be in touch about which Respectful Ways modules work best for your organization or school. (We will never spam, nor sell your information!)
A copy of your responses will be emailed to the address you provided.
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