Ecole Cobble Hill Elementary Student SEL Survey (Universal: 3-7)
1.
I am in grade
3
4
5
6
7
2.
Connection
is a sense of belonging to your school.
Connection
involves your level of trust with adults and your personal relationships in your school.
I have one or more adult(s) that I trust in my school.
Always
Usually
Sometimes
Rarely
Never
3.
I feel heard and accepted by at least one or more adult(s) in my school.
Always
Usually
Sometimes
Rarely
Never
4.
There are places I can go in my school when I need help from adults.
Always
Usually
Sometimes
Rarely
Never
5.
I feel good about the friends I have in my school.
Always
Usually
Sometimes
Rarely
Never
6.
I feel accepted by other kids in my classroom.
Always
Usually
Sometimes
Rarely
Never
7.
I feel accepted by other kids in my school.
Always
Usually
Sometimes
Rarely
Never
Optional: What else would be helpful to know about your connection to your school?
8.
Emotional and physical safety
means to be free from bullying, insults, peer pressure and the freedom to be yourself.
How do you feel at school?
Very safe
Quite safe
Neither safe nor unsafe
Quite unsafe
Very unsafe
9.
I avoid certain places in my school because it feels uncomfortable or unsafe.
Always
Usually
Sometimes
Rarely
Never
Optional: Identify spaces around the school that you might avoid
10.
There are places in the school where I can feel comfortable and safe.
Always
Usually
Sometimes
Rarely
Never
Optional: Identify spaces in the school where you feel safe and comfortable
11.
I have been taught the rules and expectations of behaviour at school.
Yes
No
12.
In the last few weeks, I have listened to and followed adult directions
Always
Most of the time
Some of the time
Never
13.
Students who seem different are treated well at this school
Always
Sometimes
Hardly Ever
Never
14.
In the last few weeks,
I have been teased
, insulted, or threatened by another student at school.
Yes
No
15.
In the last few weeks,
I have witnessed
someone being teased, insulted, or threatened by another student at school.
Yes
No
16.
In the last few weeks,
I have been pressured
to do something I did not want to do by another student (or students) at this school.
Yes
No
17.
In the last few weeks,
I have witnessed
someone else being pressured to do something they didn't want to do by another student (or students) at this school.
Yes
No
18.
I know what to do when I am being
teased
, insulted, or threatened by another student at school.
Usually
Sometimes
Not sure
Never
Optional: Describe what you can do when you are being teased, insulted or threatened by another student:
19.
I know what to do when I see another student being
teased
, insulted, or threatened at school.
Usually
Sometimes
Not sure
Never
Optional: Describe what you can do when you see another student being teased, insulted or threatened at school.
20.
I know how to calm down when I am angry or hyper
Usually
Sometimes
Not sure
Never
Optional: Describe what you can do to calm down when you are angry or hyper
21.
I know how to relax when I am nervous or worried.
Usually
Sometimes
Not sure
Never
Optional: Describe what you can do to relax when you are nervous or worried
22.
When I come into the classroom at the beginning of the day, or after recess, I know how to get ready to do my school work.
Usually
Sometimes
Not sure
Never
Optional: Describe what you can do to get ready to do your school work.
23.
It is easy for me to make friends at school
Usually
Sometimes
Not sure
Never
24.
I have disagreements or arguments with my friends at school that last for more than one day.
Often
Sometimes
Hardly Ever
25.
I know what to do when I have a problem, disagreement or argument with another student at school.
Usually
Sometimes
Not sure
Never
Optional: Describe what you can do when you have a problem, argument or disagreement with another student at school.
Current Progress,
0 of 25 answered
