School name appears here Student Survey 2022

This is not a live survey form. It is a sample only and CANNOT be submitted.

 

Please select the most appropriate number, indicating your response to questions in this survey.

Please respond only to questions that are applicable to you.

This survey is anonymous. Your submission will be to an outside consultant. Apart from any comments you add to the bottom of the form, your answers will not be returned to the school.

______________________________________________________________________________________________________________

 

A.
1.   What is your current grade?
9 10 11 12
2.   How many years have you attended the school?
1 (this is your first year)
2
3
4+
3.   Please indicate the gender with which you most identify:
male female other
4.   Do you identify as a member of the LGBTQ2S+ community?
Yes No  
5.   How would you identify yourself racially/culturally?
Asian
Black
Hispanic/Latinx
Indigenous
International
Middle Eastern
Multi-racial
Pacific Islander
White
Other
6.   How many hours do you spend on homework, on average, each day during the school week?
less than 1 hour
between 1-2 hours
between 2-3 hours
more than 3 hours
7.   How many hours do you spend on social media, on average, each day during the school week?
less than 1 hour
between 1-2 hours
between 2-3 hours
between 3-4 hours
between 4-5 hours
more than 5 hours
8.   Do you receive outside tutoring support other than extra help provided by the school?
Yes No  
9.   How many hours do you sleep, on average, on school nights?
less than 6 hours
between 6-8 hours
more than 8 hours
 
B. In general terms, how would you rate your satisfaction with the school?
 
Very low   Very high
1 2 3 4 5
 
C. Please indicate your level of agreement with each of the following statements about your school experience:
 
Strongly disagree Neither agree
nor disagree		 Strongly agree
 
1.   I am enthusiastically involved in out-of-classroom activities.
1 2 3 4 5
2.   I am passionate about the study of at least one subject.
1 2 3 4 5
3.   I feel a strong sense of belonging at the school.
1 2 3 4 5
4.   I feel capable of handling the day-to-day academic workload.
1 2 3 4 5
5.   I feel emotionally safe while at school.
1 2 3 4 5
6.   I feel encouraged to express my opinion.
1 2 3 4 5
7.   I feel respected and valued at school.
1 2 3 4 5
8.   I feel that I gain meaningful positive value from being a member of the school community.
1 2 3 4 5
9.   I feel that I make a meaningful positive contribution to the experience of others within the school community.
1 2 3 4 5
10.   I feel treated as an individual with unique needs, interests, and talents.
1 2 3 4 5
11.   I feel well supported at school as I strive to meet my potential.
1 2 3 4 5
12.   I have at least one close friend at school.
1 2 3 4 5
13.   My school experience has helped me learn to engage constructively with people holding different perspectives from my own.
1 2 3 4 5
14.   The school encourages a love of learning in me.
1 2 3 4 5
15.   There is at least one trusted adult I can talk to at school.
1 2 3 4 5
 
D. Please indicate how well prepared you feel for each of the following:
 
Very poorly prepared   Very well prepared
 
1.   adapting to face new challenges
1 2 3 4 5
2.   advocating for myself
1 2 3 4 5
3.   approaching life with intellectual curiosity
1 2 3 4 5
4.   assuming a leadership role
1 2 3 4 5
5.   conducting myself with confidence
1 2 3 4 5
6.   coping with peer pressure
1 2 3 4 5
7.   handling stressful situations
1 2 3 4 5
8.   interacting in a diverse environment
1 2 3 4 5
9.   making choices that support my emotional well-being
1 2 3 4 5
10.   organizing time effectively
1 2 3 4 5
11.   setting high expectations for myself
1 2 3 4 5
12.   thinking creatively
1 2 3 4 5
13.   thinking critically
1 2 3 4 5
14.   working cooperatively in a group
1 2 3 4 5
15.   working independently
1 2 3 4 5
 
E.
1.   Have you, personally, been affected by experiences of discrimination at school?
Yes No  
2.   If yes, on what basis have you, personally, experienced discrimination at school?
Please check as many as apply.

1.  

 race

2.  

 ethnic origin

3.  

 religion

4.  

 gender identity

5.  

 sexual orientation

6.  

 politics

7.  

 socio-economic status

8.  

 other, please specify:
 
Comments
The comment boxes below are not restricted in size to the visible space. New lines will appear, if necessary.
 
  What part of your experience most supports your sense of belonging at the school?
 
 
  If you could identify one change that could improve your sense of belonging at the school, what would it be?
 
 
  Please feel free to share any other comments in the space below.
 
 

 
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Thank you very much for your contribution to this important survey.