PSATA Fall Survey @ Park Forest

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This survey is anonymous. We will use a code to identify the survey--not the person.

Please enter your library/lunch code here: *

1. I am able to recognize how power works in social situations. *

Not at All

Somewhat

Very Much

2. I understand that it is important to value people who are different from me. *

Not at All

Somewhat

Very Much

3. I know that patterns of unhealthy ideas and behaviors can lead to violence. *

Not at All

Somewhat

Very Much

4. I understand that my actions impact others. *

Not at All

Somewhat

Very Much

5. I know that I can use my power to be an ally to others. *

Not at All

Somewhat

Very Much

6. I understand that hurting people with my words is a form of violence. *

Not at All

Somewhat

Very Much

7. I understand how gender can influence how we treat others. *

Not at All

Somewhat

Very Much

8. I understand that gender stereotypes can be harmful. *

Not at All

Somewhat

Very Much

9. I understand that gender stereotypes may keep people from doing what they really want to do in this life. *

Not at All

Somewhat

Very Much

10. I believe it is my responsibility for everyone to feel safe at school. *

Not at All

Somewhat

Very Much

11. I take action to help when I witness bullying or harm. *

Not at All

Somewhat

Very Much

12. When I witness people acting in harmful or unsafe ways, I have tools that I can use to figure out how to help. *

Not at All

Somewhat

Very Much

If you are comfortable answering, please share your gender:

Female/Girl

Male/Boy

Questioning

Other

Clear selection

If you are comfortable answering, please share your race/ethnicity:

Hispanic

Latinx

Black or African American

White

Pacific Islander

Asian

First Nations, Indigenous or American Indian

Multi-racial or from multiple ethnicities

Other

Clear selection

Thank you! Please submit your survey and follow your teacher's directions for what to do when you are finished.

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