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* 1. Person Responding

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* 2. Which school does your child attend? (If you have multiple children at multiple schools, please fill out one survey per school)

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* 3. My child is safe at school.

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* 4. The school, as a whole, is successful in preparing my child for the future.

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* 5. The school, as a whole, communicates expectations for student learning and goals.

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* 6. The school, as a whole, responds in a timely manner when I have concerns.

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* 7. There are clear behavior expectations that are supported by school staff.

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* 8. The school, as a whole, communicates well with me about my child's progress.

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* 9. I am greeted in a positive manner when I call or visit the school.

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* 10. My child knows how to report acts of bullying, harassment or violence.

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* 11. My child feels comfortable reporting acts of bullying, harassment or violence while at school.

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* 12. My child believes school staff take appropriate action to prevent and reports of bullying.

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* 13. I respect the school staff.

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* 14. Please select an ethnicity choice below:

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* 15. Please select a racial description below:

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