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Demo Survey

To better support you, your school and teachers would like to ask you some questions about how you think and feel. Only your teachers and school leaders will be able to see your responses, which will not affect your class grades. Please respond honestly—there are no right or wrong answers!

Your Current Classes

Please tell us about how you feel about your current teachers and classes.

1.

How confident are you that you can complete all the work that is assigned in your classes?
2.

When complicated ideas are presented in class, how confident are you that you can understand them?
3.

How confident are you that you can learn all the material presented in your classes?
4.

How confident are you that you can do the hardest work that is assigned in your classes?
5.

How confident are you that you will remember what you learned in your current classes, next year?

Your Behavior

Please answer the following questions about how you respond to different situations. During the past 30 days…

6.

How often did you come to class prepared?
7.

How often did you follow directions in class?
8.

How often did you get your work done right away, instead of waiting until the last minute?
9.

How often were you polite to adults?
10.

How often did you pay attention and resist distractions?
11.

When you were working independently, how often did you stay focused?
12.

How often did you remain calm, even when someone was bothering you or saying bad things?
13.

How often did you allow others to speak without interruption?
14.

How often were you polite to other students?
15.

How often did you keep your temper in check?

Your Feelings

These questions ask about how you’ve been feeling recently. Please respond honestly—there are no right or wrong answers because there are no right or wrong feelings! Your answers will help us better support you and other students, and will not affect your grades or show up on your report card. You can skip any question you don’t feel comfortable answering.

During the past week, how often did you feel _______?

16.

excited
17.

happy
18.

loved
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safe
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hopeful
21.

angry
22.

lonely
23.

sad
24.

worried
25.

frustrated
26.

Thinking about everything in your life right now, what makes you feel the happiest?

27.

Thinking about everything in your life right now, what feels the hardest for you?

Help From Other People

In this section, tell us about how other people help you.

28.

Do you have a teacher or other adult from school who you can count on to help you, no matter what?
29.

Do you have a family member or other adult outside of school who you can count on to help you, no matter what?
30.

Do you have a friend from school who you can count on to help you, no matter what?
31.

Do you have a teacher or other adult from school who you can be completely yourself around?
32.

Do you have a family member or other adult outside of school who you can be completely yourself around?
33.

Do you have a friend from school who you can be completely yourself around?
34.

What can teachers or other adults at school do to better support you?