2024 - ROP Student Survey
1.
Student Name: (Optional)
2.
Living Unit:
3.
My age is
Under 10
10-13
14-16
17 or above
4.
My Gender is:
Male
Female
5.
Sex Assigned at Birth:
Male
Female
Intersex
6.
Gender Identification:
Male
Female
Gender Fluid
Transgender
7.
Other Sexual Orientation:
Heterosexual/Straight
Queer
Lesbian
Gay
Bisexual
Questioning
Other
8.
I have been at this program
0-1 month
1-3 months
3-6 months
6-12 months
12-18 months
18+months
9.
I received information on reporting sexual misconduct (PREA/SES) while at this facility?
Yes
No
10.
Rite of Passage’s Mission Statement is:
11.
I feel safe in this facility?
Yes
No
12.
Staff treat me with respect?
Yes
No
13.
Have you observed bullying behavior at this site?
Yes
No
14.
If you reported bullying behavior, do you believe staff would intervene?
Yes
No
15.
I have received information on the effects of Fentanyl?
Yes
No
16.
Fentanyl has been found in most drugs today?
True
False
17.
How much Fentanyl does it talk to be a lethal dose?
50 grains of sand
2 grains of sand
25 grains of sand
10 grains of sand
18.
Do you know how to report sexual harassment or abuse at this facility?
Yes
No
19.
If you saw other students participating in sexual misconduct, would you report it?
Yes
No
20.
Do you feel safe from sexual abuse/harassment in:
in your sleeping area?
Yes
No
during shower and hygiene times?
Yes
No
In the common areas (gym, playing fields, dining hall, (status area where applicable)?
Yes
No
In the education areas?
Yes
No
21.
I feel comfortable talking to staff about my program concerns?
Yes
No
22.
The school program is helping me achieve my educational goals.
Yes
No
23.
When needed, I am seen by medical staff in a timely manner.
Yes
No
24.
I have clean bedding and clothing that is free of holes and tears.
Yes
No
25.
I have participated in a fire drill in the last
0-30 days
30-60 days
60-90 days
26.
I have participated in an Emergency Disaster Drill
Yes
No
27.
I have open access to a grievance form.
Yes
No
28.
ROP focuses on my needs as identified in my individualized plan.
Yes
No
29.
This program recognizes mine and other student cultural backgrounds.
Yes
No
30.
I have an overall feeling of satisfaction with the program.
Yes
No
31.
I have been made aware of policies regarding restraints.
Yes
No
32.
I was made aware of student policies and student handbook content.
Yes
No
33.
Do you think students would benefit from more training on preventing sexual abuse and sexual harassment?
Yes
No
34.
I have been included in transition/discharge/aftercare planning.
Yes
No
35.
I have a plan as to where I am going to live when I discharge.
Yes
No
36.
My favorite meal at ROP is:
37.
My least favorite meal at ROP is:
38.
My Favorite snack at ROP is:
39.
My least favorite snack at ROP is: