Student Relationship Survey
Your First Name *
Your answer
Your Last Name *
Your answer
What grade are you in? *
Below are the names of adults who work in the building. Please check the names of adults that you would feel comfortable going to if you were having a problem, issue, or something else you needed to talk about. (Check all that apply) *
If there is an adult in the building that you feel comfortable talking to that was not on the above list, please list those adults below.
Your answer
Think about the adult that you feel most comfortable talking to if you had an issue. Please list some reasons that you feel comfortable talking to that person.
Your answer
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