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2023-2024 Intermediate School Title I Student Needs Assessment
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* Indicates required question
What grade are you in?
*
3
4
5
As a student, I am pleased with the teaching instruction at my school.
*
Yes
No
As a student, I think the discipline practices are fair at my school.
*
Yes
No
As a student, I think the grading practices are fair at my school.
*
Yes
No
I feel safe:
*
Yes
No
In the cafeteria
On the school campus
On the playground
On the bus to and from school
At after school activities
Yes
No
In the cafeteria
On the school campus
On the playground
On the bus to and from school
At after school activities
The staff at school like/respect me and feel that I am important.
*
Yes
No
Teachers and principals ask for students' thoughts and ideas at times about things in my school.
*
Yes
No
My teacher(s) tell me what I should be learning (the standards of achievement) and sets high expectations for my learning.
*
Yes
No
I do the very best work I can at school and complete my assignments.
*
Yes
No
I can get help from my teacher(s) if I am struggling with my school work or classes and do not understand the lesson.
*
Yes
No
I do not need extra help with school work
What area(s) do you need the most help in?
*
Yes
I do not need help in this area
Math
Reading/Literacy
English/Language Arts
Science
History/Social Studies
Writing
Yes
I do not need help in this area
Math
Reading/Literacy
English/Language Arts
Science
History/Social Studies
Writing
Do you use the extra help that is available to you from your teachers?
*
Yes
No
I do not need extra help
I like the extra help I get from other teachers and/or staff who come into my classroom or work with me individually or in small groups.
*
Yes
No
I do not need extra help
There is at least one adult at school I can talk to if I have a problem.
*
Yes
No
Students get along well together socially at my school.
*
Yes
No
I have been bullied:
*
Yes
I have not been bullied
Verbally
Physically
Cyberbullying
Socially and/or Emotionally/Mentally
Yes
I have not been bullied
Verbally
Physically
Cyberbullying
Socially and/or Emotionally/Mentally
I reported the bullying and it stopped.
*
I have not been bullied
Yes
No
How often does your teacher(s) use technology in class; for example, interactive whiteboard, computer carts, iPads, smart tv, Google Classroom, etc.?
*
Daily
Weekly
Monthly
Not often
I need the following emotional support:
*
N/A
Mental Health Counseling
Information on the Use of Social/Emotional Strategies
Behavior Intervention
Controlling My Emotions
Increasing My Self-Esteem and Self-Confidence
School Support System
Other:
Required
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