CHK SURVEY 2017-18
Soc/Emot survey of students
How old are you? *
Are you female or male?
What grade are you in?
Did you eat breakfast this morning?
How many days a week do you usually go to your school's after school program?
Do you feel close to people at school?
Are you happy to be at this school?
Do you feel like you are part of this school?
Do you feel proud to belong to your school?
Are the students at your school motivated to learn?
Do teachers treat students fairly at school?
Are you given a chance to help decide things at school, like class rules?
Do the teachers and other grown-ups at school care about you?
Do the teachers and other grown-ups at school ask you about your ideas?
Do the teachers and other grown-ups give you a chance to solve school problems?
Do you get to do interesting activities at school?
Do your teachers ask you what you want to learn about?
How well do you do in your schoolwork?
Do the teachers and other grown-ups at school listen when you have something to say?
Do the teachers and other grown-ups at school believe that you can do a good job?
Do you do things to be helpful at school?
Do teachers and other grown-ups at school treat students with respect?
Are students treated fairly when they break school rules?
Are students at this school well behaved?
Do students know what the rules are?
Does your school help students solve conflicts with one another?
Does your school teach students to understand how other students think and feel?
Does your school teach students to care about each other and treat each other with respect?
Do the teachers and other grown-ups make it clear that bullying is not allowed?
If you tell a teacher that you've been bullied, will the teacher do something to help?
Do students at your school try to stop bullying when they see it happening?
Do you finish all your class assignment?
When you get a bad grade, do you try even harder the next time?
Do you keep working and working on your schoolwork until you get it right?
Do you do your class assignments even when they're really hard for you?
Do you follow the classroom rules?
Do you follow the playground rules at recess and lunch times?
Do you listen when your teacher is talking?
Are you nice to other students?
During the past year how many times have you hit or pushed other kids at school when you were not playing around?
During the past year, how many times have you spread mean rumors or lies about other kids at school?
During the past year, how many times at school have you said mean things about other students or called them bad names?
Do other kids hit or push you at school when they are not just playing around?
Do other kids at school spread mean rumors or lies about you?
During the past year, did you ever bring a gun or knife to school?
Do other kids at school call you bad names or make mean jokes about you?
During the past year, have you ever seen another kid with a gun or knife at school?
Are you home alone after school?
Do you feel safe at school?
Do you feel safe on your way to and from school?
Have other kids at school ever teased you about what your body looks like?
Have you ever smoked a cigarette?
Have you ever used an electronic cigarette, e-cigarette, or other vaping device such as e-hookah, hookah pens, or vape pens?
Have you ever drunk beer, wine, or other alcohol?
What is your ethnicity?
Have you ever smoked any marijuana (pot, grass weed)?
Do you think smoking cigarettes is bad for a person's health?
Do you think drinking alcohol (beer, wine, liquor) is bad for a person's health?
Do you think using marijuana (pot, grass, weed) is bad for a person's health?
Does a parent or some other grown-up at home care about your schoolwork?
Does a parent or some other grown-up at home believe that you can do a good job?
Does a parent or some other grown-up at home want you to do your best?
Does a parent or some other grown-up at home ask if you did your homework?
Does a parent or some other grown-up at home check your homework?
Does a parent or some other grown-up at home ask you about school?
Does a parent or some other grown-up at home ask you about your grades?
I stand up for myself without putting others down
Do you get along or work well with students who are different from you?
Do you enjoy working with other student?
Do you try to understand how other people feel?
Do you feel bad when someone else gets their feelings hurt?
Do you understand what other people go through?
Do you try to understand your moods and feelings?
Do you understand why you do what you do?
Do you feel there is a purpose to your life?
I can do most things if I try
Do you try to work out your problems?
Are there many things you do well?
Do you know where to go for help with a problem?
Do you try to work out your problems by talking or writing about them?
When you need help, do you find someone to talk with about it?
Do you try to do your best?
Do you set goals and then work to achieve them?
I accept responsibility for my actions
When I make a mistake I admit it
I can deal with being told no
Do you think you are too skinny, about right, or too fat?
Are you doing anything to try to lose weight?
How many days each week do you exercise, dance or play sports?
When not exercising, do you ever have trouble breathing (for example, shortness of breath, wheezing, or a sense of tightness in your chest)?
Has a parent or some other adult ever told you that you have asthma?
Yesterday, how much time did you spend watching TV or playing video games?
When you ride in a car, do you wear a seat belt
When you ride a bicycle, do you wear a helmet?
Do other kids at school spread mean rumors or lies about you on the internet (i.e., Facebook, MySpace, email, instant message)?
Do you feel safe outside of school?
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