Gr. 6-12 Student School Mental Health Survey
Thank you for taking this survey. Your responses will help us apply for funds to bring 15 or more mental health professionals into our local schools. All responses are confidential.
Please select your grade.
The next questions ask about your feelings and friendships.
During the past 12 months, how often have you felt lonely?
During the past 12 months, how often have you been so worried about something that you could not sleep at night?
How many close friends do you have?
During the past 12 months, did you ever seriously consider attempting suicide?
The next questions ask about your experiences at school and at home.
During the past 30 days, on how many days did you miss classes or school without permission?
During the past 30 days, how often were most of the students in your school kind and helpful?
During the past 30 days, how often did your parents or guardians check to see if your homework was done?
During the past 30 days, how often did your parents or guardians ask about your problems and worries?
During the past 30 days, how often did your parents or guardians really know what you were doing with your free time?
During the past 30 days, how often did your parents or guardians go through your things without your approval?
These final questions ask about bullying and fighting.
During the past 12 months, how many times (if any) were you physically attacked?
During the past 12 months, how many times (if any) you get into a fight at school?
During the past 30 days, on how many days were you bullied?
Thank you for taking this survey.
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