Restorative Practices Exposure Questionnaire

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Here at Berkeley High School, students often engage in Restorative Practices. These practices embody the principles and values of Restorative Justice, which is an approach to building relationships and addressing conflict that focuses on needs of the person harmed and the community. This survey is designed to assess your level of experience with restorative practices. Please answer each question honestly. If you are unfamiliar with a question please do not hesitate to say so. We will keep your responses confidential. One lucky student will receive a prize. Please answer this survey by Friday, November 1st.

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Name

Grade

Freshman

Sophomore

Junior

Senior

Clear selection

Age

Race

Hispanic or Latino

American Indian or Alaska Native

Asian

Black or African American

Native Hawaiian or Other Pacific Islander

White

Other

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Gender

Female

Male

Non-binary

Prefer not to say

Other:

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Please finish the sentence: A community building circle is...

How many community building circles have you been apart of?

None

1-5

5-10

More than 10

Other:

Clear selection

Please finish the sentence: A harm circle or peer mediation is...

How many harm circles or peer to peer meditations have you been involved with?

None

1-5

5-10

10 or more

Other:

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Free or Reduced Lunch?

Yes

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Small School

AHA

AMPS

CAS

BIHS

BTA

MLP

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How would you rate your overall exposure to restorative practices here at Berkeley High School

no exposure

high exposure

Clear selection

Send me a copy of my responses.

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