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School Climate Questionnaire
2018-19 School Year
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* Indicates required question
I am a...
*
Boy
Girl
What is your grade level?
*
3rd Grade
4th Grade
Who is your teacher?
*
Your answer
This is how I feel about Green-Fields
*
I like this school.
This school is ok.
I don't like this school.
Most of the time, this is how I feel about coming to school in the morning:
*
Happy
Just Ok
Unhappy
This is how much I like the children in this class:
*
I like the other kids in my class.
The other kids in my class are ok.
I don't like the kids in my class.
In this class, I feel happy:
*
most of the time
sometimes
never
In this class, I feel sad
*
most of the time
sometimes
never
In this class, I feel bored
*
Never
Sometimes
Most of the Time
In this class, I feel angry
*
Never
Sometimes
Most of the time
In this class, I feel lonely
*
Never
Sometimes
Most of the time
The students in this class respect me
*
A lot
Ok
Not that much
The students in this class respect each other
*
A lot
Ok
Not that much
The adults in this building care about me
*
A lot
Ok
Not that much
There is a at least one adult at school that I can go to for help if something is bothering me.
*
Yes
No
Not sure
Please give the name of an adult (you can list more than one) that you can go to for help if something is bothering you. If you are not sure then write"not sure". If you do not feel comfortable with any adults at school write "none".
*
Your answer
How often does another child in your class say something nice to you?
*
A lot
Sometimes
Never
How often does another child in your class says something mean to you?
*
A lot
Sometimes
Never
How often does another child in your class tease you?
*
A lot
Sometimes
Never
How often does another child from your class exclude you or leave you out?
*
Never
Sometimes
A lot
How often do you say something nice to someone in your class
*
A lot
Sometimes
Never
How often do you say something mean to someone in your class?
*
A lot
Sometimes
Never
How often do you tease someone in your class?
*
Never
Sometimes
A lot
How often do you exclude someone or leave someone out in your class?
*
Never
Sometimes
A lot
How often is another child mean to you on the bus
Never
Sometimes
A lot
Clear selection
How often is another child mean to you at recess
*
Never
Sometimes
A lot
How often does another child tell you that you can't play with them at recess.
*
Never
Sometimes
A lot
This is how safe I feel on the playground
*
Very safe
Ok
Not safe
This is how safe I feel in the classroom
*
Very safe
Ok
Not Safe
This is how safe I feel in the hallways of school
*
Very safe
Ok
Not Safe
This is how safe I feel on the bus
Very safe
Ok
Not safe
Clear selection
This is how safe I feel in the cafeteria
*
Very safe
Ok
Not safe
Write the name of an adult at home you can talk to if you are having a problem
*
Your answer
List any ideas that you think would make you feel better about coming to school.
Your answer
As you are finishing this survey, check any feelings that you have now
*
Happy
Interested
Sad
Bored
Angry
Lonely
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