Social Issue Survey
Sign in to Google to save your progress. Learn more
Please select your current grade. *
Please select your gender identity. *
Do you consider yourself a racial minority? *
Do you identify as part of the LGBTQ community? *
How much on a scale of 1-10 would you say you are currently, or have been personally affected by sexism? *
Not at all
Extremely affected
How much on a scale of 1-10 would you say you are currently, or have been personally affected by racial discrimination? *
Not at all
Extremely affected
How much on a scale of 1-10 would you say you are currently, or have been personally affected by discrimination against your sexual or gender identity? *
Not at all
Extremely affected
How much on a scale of 1-10 would you say you are currently, or have been personally affected by classism? *
Not at all
Extremely affected
How much on a scale of 1-10 would you say you are currently, or have been personally affected by environmental issues? *
Not at all
Extremely affected
How can South Peace better educate students on social issues? *
Which of these social issues do you believe South Peace is most strongly impacted by? (multiple selection available) *
Required
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of School District 59. Report Abuse