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* 1. My grade level is...

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* 2. I am safe, respectful, and responsible.

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* 3. Most students are safe, respectful, and responsible.

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* 4. I feel safe while I attend class.

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* 5. I feel safe when I am in the bathroom at school.

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* 6. I like the adults who work at our school.

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* 7. There a teacher or staff member that I feel comfortable talking to about your feelings?

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* 8. Bullying is unwanted, aggressive behavior among school aged children that involves a real or perceived power imbalance. The behavior is repeated, or has the potential to be repeated, over time. Actions such as making threats, spreading rumors, attacking someone physically or verbally, and excluding someone from a group on purpose on a continual basis that makes you feel threatened and/or hurt your feelings is bullying.

Have you been bullied this school year?

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* 9. I like going to my school.

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* 10. I feel it is important to attend school.

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* 11. The best thing about my school is…..

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* 12. What is one suggestion to improve our school?

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