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Student Survey 2025
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* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Grade
*
6th
7th
8th
Team
Courage (6th Grade)
Perseverance (6th Grade)
Responsibility (7th Grade)
Integrity (7th Grade)
Determination (8th Grade)
Excellence (8th Grade)
Clear selection
Do you have a hard time with any of the following? (Check ALL that apply to you.)
*
fighting
feeling angry or easily annoyed
feeling lonely (left out, no friends, etc.)
feeling unloved or unimportant
feeling that you have been put down, insulted or humiliated
worrying
being manipulated or hurt
manipulating others
feeling self-confident
feeling unhappy or depressed
lying, cheating, or stealing
headaches, stomach aches, sickness (I see the nurse a lot)
hurting yourself
feeling suicidal
drugs or alcohol
unhealthy behaviors (sexual behaviors, not getting enough to eat, not having clean clothes, sleeping)
Are you on probation or have you been arrested?
NONE OF THE ABOVE apply to me.
Required
There is at least one adult at SCHOOL I can go to if I need someone to talk to.
*
Yes
No
There is at least one adult OUTSIDE of school I can go to if I need someone to talk to.
*
Yes
No
Please choose one of the following...
*
I live in a shelter - we do not have our own home at this time.
My family shares a home with another family (other friends or family members).
I live in a car, park, campground.
My family lives in a hotel or motel.
I live with my parents/guardians in our own home or apartment.
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