HomeTech would like to get your opinions as we plan for next school year.  Please answer the following questions.  Thank you!

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* 1. What grade are you currently in?

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* 2. Please share how much you agree or disagree with the following statements about school climate.

  Strongly Agree Agree Disagree Strongly Disagree
I like going to school at HomeTech.
I feel like I fit in at HomeTech.
I feel successful at HomeTech.
I feel safe at school.
Teachers treat me with respect.
I know an adult at school I can talk with if I need to.
I take pride in keeping my school in good condition.
I am treated fairly by others regardless of my race, ethnicity, or culture.
My school has clear rules for behavior.
The behaviors in my class allow teachers to teach.
Students are frequently recognized for good behavior.
I feel my school has high standards for achievement.

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* 3. For Grades 9-12:  Please rank what should be priorities for HomeTech's Academic Program.

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* 4. For Grades 7-12:  Please rank what should be priorities for HomeTech's Academic Supports.

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* 5. For Grades 4-6:  Please rank what should be priorities for HomeTech's Elementary Program

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* 6. Please rank what should be priorities for HomeTech's school climate.

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* 7. Do you have an IEP? (You work with Brett, Jessica, Madison, etc.)

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* 8. If marked "Yes" to #7, please answer the following questions:

  Strongly Agree Agree Disagree Strongly Disagree Doesn't apply to me
I feel like Brett (or Jessica) helps me understand my school work.
I wish I had more time with Brett (or Jessica).
I feel like my school work is modified appropriately according to my IEP (if needed)
I feel confident my classroom teacher(s) know about my IEP and how to help me.

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* 9. Would you be interested in playing high school sports?

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* 10. What sports would you be interested in playing (check all that apply).

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* 11. Is there anything else you would like to share?

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