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Does your school need Respectful Ways?
Take this brief survey. We’ll be in touch to discuss how Respectful Ways can meet your needs -- and positively impact your students' lives.
SCALE INFORMATION:
1 = NOT A PROBLEM /// 10 = A TOP PRIORITY ISSUE. Add any additional information in the Comments section at the bottom.
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Email
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Your email
Your Name and Job Title
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Your answer
Name of School, After-School Program or District, including town and state:
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Your answer
Phone number:
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Your answer
SEL issues/challenges affecting students:
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Involving Grades Pre-K - 2
Involving Grades 3 - 5
Involving Grades 6 - 8
Involving Grades 9 - 12
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On a scale from 1 to 10, our STUDENTS need additional support to become resilient through perseverance and problem-solving.
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On a scale from 1 to 10, our TEACHERS would benefit from supports to address behaviors of concern, such as inappropriate language and disruptions in class.
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On a scale from 1 to 10, our STUDENTS need to further develop their skills related to responsibility. For example, academic responsibility, social responsibility and/or environmental responsibility.
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On a scale from 1 to 10, our STUDENTS need to further develop empathy and connections with others. They can benefit from learning skills to build and maintain relationships.
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On a scale from 1 to 10, our STUDENTS deal with bullying, cyber-bullying or physical violence among their peers.
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On a scale from 1 to 10, our STUDENTS could benefit from further developing their self-esteem, self-respect, and self-advocacy.
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On a scale from 1 to 10, our STUDENTS' test scores are not in the range we'd like them to be.
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What kinds of stressors or trauma are prevalent in your student population?
Home insecurity
Food insecurity
Racism
Care-giver insecurity
Crime
Abuse or neglect (physically or emotional)
Environmental toxins
Unemployment
Excessive achievement pressure
Over-scheduling
Divorce
Deployment
Other:
Click below to indicate which issues are prevalent or add comments in the text box below.
Obesity and physical health
Self-harm or thoughts of self-harm
Drinking and Drugs
Emotional Regulation issues
Acute or chronic depression
Smoking, juuling or vaping
High risk behaviors
Conflict Resolution and social issues
Stress, coping and anxiety
Students with histories of high-stress or Trauma
Teen pregnancy
Other:
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.
Your answer
Are there any other specific issues you'd like addressed?
Your answer
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?
Your answer
***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!)
Your answer
A copy of your responses will be emailed to the address you provided.
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