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School Climate Survey: Family 2021
Please answer all of the questions or your answers won't be recorded, but you can mark "I prefer not to answer" if you don't want to answer a question about you.
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* Indicates required question
Demographics
Please indicate the grade of your student or students.
*
PreK
K
1
2
3
4
5
6
7
8
I prefer not to answer
Required
Is your student enrolled in any of these programs?
*
Special Education Program or has an Individualized Education Program (IEP)
Gifted Program
Not applicable, not sure, I prefer not to answer
Required
What is your gender identity?
*
Female
Male
Non-binary, transgender or other
I prefer not to answer
What is your ethnicity?
*
Hispanic or Latino/a
Non Hispanic or Latino/a
I prefer not to answer
What is your race?
*
American Indian or Alaskan Native
Asian
Black or African American
Native Hawaiian or Pacific Islander
White
I prefer not to answer
Required
Beyond that, is there another ethnic group with which you identify?
I prefer not to answer
Other:
Clear selection
What town do you live in?
*
Charleston
Dover-Foxcroft
Monson
Sebec
Other:
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