K-1 Student Survey
Student Form
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1.  My school is: *
2.  What is your gender? *
3.  What is your race? *
4.  What grade are you in? *
5.  Do you like school? *
6.  Do you feel like you do a good job at school? *
7.  Do the adults at your school want you to do well? *
8.  Does your school have clear rules for behavior? *
9.  Are the adults at your school nice to you? *
10.  Do teachers tell you when you are doing a good job? *
11.  Do you get along well with others? *
12.  Do you feel safe in your classroom? *
12.  Do you feel safe in the hallways, cafeteria and recess at school? *
13.  Are students nice to each other at your school? *
14.  Is there an adult at your school who will help you if you need it? *
15.  Do the students in your class behave so that teachers can teach? *
16.  Do you meet in circles or class meetings at school? *
17.  Do circles or class meetings help you get to know your classmates and teachers? *
18.  Is there a place where you can go if you need to calm down? *
19.  If you move to the safe seat, does that mean you are in trouble? *
20.  If you move to the buddy room, does that mean you are in trouble? *
21.  Do you participate in Welcoming Rituals? *
22.  Do you participate in Optimistic Closures? *
23.  Do you participate in the 2nd Step Program? *
24.  Notes:  (Optional)
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