Valley Center Wheatland Elementary Student Conflict Survey
Please take this short survey and it will be e-mailed to your principal. They will then follow-up with the student who submits the checklist.
Name *
Your answer
Victim *
Your answer
Offender *
Your answer
Where did this happen? *
Your answer
Date *
Your answer
It happens a lot *
We are usually friends *
They try to be my friend again *
They have power over me *
The other person feels bad about it *
They are hitting or pushing *
They are waiting for me *
I am the only person upset *
Please put down any other information that you would like the principal to know.
Your answer
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