Strongly Disagree Disagree Agree Strongly Agree
a. I worry about crime and violence in school.
b. Students at this school are often bullied.
c. Students at this school are often threatened.
d. Students at this school are often teased or picked on.
e. Students at this school are often bullied because of certain characteristics (ex: race, religion, or weight)?
f. I sometimes stay home because I don't feel safe at school

 

  Not Safe Somewhat Safe Mostly Safe Very Safe
a. Outside around the school?
b. In the hallways and bathrooms of the school?
c. In your classes?

 

  Strongly Disagree Disagree Agree Strongly Agree
a. Don't really care about each other.
b. Like to put others down.
c. Don't get along together well.
d. Just look out for themselves
e. Treat each other with respect.
f. Stop and think before doing anything when they get angry.
g. Do their share of the work when we have group projects.
h. Give up when they can't solve a problem easily.
i. Get into arguments when they disagree with people.
j. Do their best, even when their school work is difficult.
k. Think it's OK to fight if someone insults them.
l. Do all their homework.
m. Say mean things to other students when they think the other students deserve it.
n. Try to work out their disagreements with other students by talking to them.
o. Think it's OK to cheat if other students are cheating.
p. Try to do a good job on school work even when it is not interesting.

 

  Strongly Disagree Disagree Agree Strongly Agree
a. Often connect what I am learning to life outside the classroom.
b. Encourage students to share their ideas about things we are studying in class.
c. Often require me to explain my answers.
d. Really care about me.
e. Help me make up work after an excused absence.
f. Often assign homework that helps me learn.
g. Think all students can do challenging school work.

 

  Strongly Disagree Disagree Agree Strongly Agree
a. Adults in this school are often too busy to give students extra help.
b. Adults in this school apply the same rules to all students equally.
c. I wish I went to a different school.
d. I can get extra help at school outside of my regular classes.
e. A counselor at this school has helped me plan for life after high school.
f. When students in this school already know the material that is being taught, the teacher gives them more advanced assignments.
g. Adults in this school are usually willing to take the time to give students extra help.
h. Students at this school are expected to learn challenging math material to get them ready for high school.

 

  Never 1 or 2 times 3 or 4 times 5 or more times
a. Write a research paper of 2 or more pages.
b. Write a paper in which you defended your own point of view or ideas.
c. Make a formal presentation to a class about something you read or researched.

 

  Never 1 or 2 times 3 or 4 times 5 or more times
a. Talked to a teacher about a problem you were having in class.
b. Talked to an adult at school about something that was bothering you.
c. Talked to an adult at school about something outside of school that is important to you.

 





 

  Strongly Disagree Disagree Agree Strongly Agree
a. Teachers notice if I have trouble learning something.
b. Will help me improve my work if I do poorly on an assignment
c. Treats some students better than others.

 

  Strongly Disagree Disagree Agree Strongly Agree
a. The topics we are studying are interesting and challenging.
b. This class really makes me think.
c. I am usually bored in my classes.