Self Awareness-Student Survey

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This survey is to gain information about the social, emotional and academic needs of individual students in our classrooms/school. This information will be shared with the classroom teacher, building administrator(s) and Guidance Counselors/Student and Family Support Coordinator in each building. Please do not hesitate to reach out to any of our staff should you need any support at all during these unprecedented times. It is our goal to understand our students as best we can so that we are providing a safe and productive learning environment, whether that be face to face, blended or online. Thank you for your feedback.

Student's First and Last Name *

Grade *

Kdn

Classroom Teacher(s) *

What is your race? *

American Indian

African American

Asian

Hispanic

White

Biracial

Other:

Do you feel your teacher likes you? *

Almost Never

Once in awhile

Sometimes

Often

Almost always

Is your teacher excited about teaching you? *

Almost Never

Once in awhile

Sometimes

Often

Almost always

Do you feel comfortable asking questions in your classroom? *

Almost Never

Once in awhile

Sometimes

Often

Almost always

Do you feel your teacher listens to you? *

Almost Never

Once in awhile

Sometimes

Often

Almost always

Do you think the rules are fair in your classroom? *

Almost Never

Once in awhile

Sometimes

Often

Almost always

Do you think the rules are the same for all students? *

Almost Never

Once in awhile

Sometimes

Often

Almost always

Does your teacher have favorite students? *

Yes

Sometimes

I'm not sure.

Does your teacher make you feel nervous? *

Yes

Sometimes

Do other students make you feel nervous? *

Yes

Sometimes

When I'm feeling stressed or frustrated, I feel comfortable talking to someone about my feelings. *

Yes

Sometimes

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