Parent Safety Survey
To be completed by parents of students 3rd-12th Grades

NO STUDENT NAMES WILL BE ATTACHED TO THE SURVEY RESPONSES!
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GENERAL INFORMATION
What school(s) do your students attend? *Check all that apply* *
Required
What is your gender? *
What is your racial background? *
What grade(s) are your students? *Check all that apply* *
Required
How does your student(s) get to school on most days? *
How are you related to your student(s)? *
SURVEY INFORMATION
Read each statement carefully and select the answer that best describes how you feel.  Answers should be based on THIS school year.  There is no right or wrong answer.  Please answer truthfully! There are 27 questions in this survey.
1. Overall, I feel that this school is a safe school.
Clear selection
2. My child is getting a good education at this school.
Clear selection
3. School rules seem reasonable.
Clear selection
 4. Students know what behavior is expected of them.
Clear selection
 5. I feel welcome at my child’s school.
Clear selection
6. My son or daughter is proud of his or her school.
Clear selection
7. My son or daughter generally behaves well in the classroom.
Clear selection
 8. My child feels safe in the lunchroom.
Clear selection
 9. My child feels safe in the school hallways.
Clear selection
10. Threats by one student against another are common at school.
Clear selection
11. My child feels safe going to and coming from school.
Clear selection
12. Physical fighting or conflicts happen regularly at school.
Clear selection
13. Name calling, insults or teasing happen regularly at school.
Clear selection
14. My child feels he/she belongs at this school.
Clear selection
15. School rules are clearly defined and explained so that I can understand them.
Clear selection
16. This year my child has had something worth $10 or more stolen at school.
Clear selection
17. My child has friends at this school.
Clear selection
18. Parents are informed when a student has a discipline problem at school.
Clear selection
19. My child feels safe in the classrooms at school.
Clear selection
20. Students carrying weapons is a problem at my child’s school.
Clear selection
21. My child is learning a lot at this school.
Clear selection
22. Arguments among students are common at school.
Clear selection
23. Teachers make sure school rules are followed.
Clear selection
24. I feel teachers care about my child’s learning.
Clear selection
25. Parents are involved in activities at school.
Clear selection
26. Students use drugs or alcohol at school.
Clear selection
27. My child feels that teachers care about him or her as a person.
Clear selection
What might we do to make parents/guardians feel more involved?
THANK YOU FOR COMPLETING THIS SURVEY!
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