Please enter your Student ID number:
Please choose a response for each question:
1. In my school, there are clear rules against physically hurting other people (for example,
hitting, pushing, or tripping).
Strongly Agree Agree Neither Agree or Disagree Disagree Strongly Disagree
2. I have seen students being physically hurt at school more than once by other students
(for example, pushed, slapped, punched, or beaten up).
7. I am familiar with my school’s core values and beliefs about learning.
Strongly Agree Agree Neither Agree or Disagree Disagree Strongly Disagree
8. The content of the courses I take challenges me to think critically and solve problems.
Strongly Agree Agree Neither Agree or Disagree Disagree Strongly Disagree
9. I am knowledgeable about the ethical use of technology
Strongly Agree Agree Neither Agree or Disagree Disagree Strongly Disagree
10. My school provides me with the instructional materials (textbooks, computers, equipment,
and supplies) I need for each of my courses.
Strongly Agree Agree Neither Agree or Disagree Disagree Strongly Disagree
11. My teachers provide me with opportunities to assess my own work.
Strongly Agree Agree Neither Agree or Disagree Disagree Strongly Disagree
12. Teachers use group activities in my classes.
Strongly Agree Agree Neither Agree or Disagree Disagree Strongly Disagree
13. My teachers explain what the learning expectations are before each unit of study.
Strongly Agree Agree Neither Agree or Disagree Disagree Strongly Disagree
14. I understand in advance what work I have to accomplish to meet my teachers’
expectations.
Strongly Agree Agree Neither Agree or Disagree Disagree Strongly Disagree
15. My teachers use rubrics to assess my work.
Strongly Agree Agree Neither Agree or Disagree Disagree Strongly Disagree
16. I understand the rubrics my teachers use.
Strongly Agree Agree Neither Agree or Disagree Disagree Strongly Disagree
17. My teachers assess/correct my school work in a reasonable amount of time.
Strongly Agree Agree Neither Agree or Disagree Disagree Strongly Disagree
18. My teachers offer suggestions to help me improve my school work
Strongly Agree Agree Neither Agree or Disagree Disagree Strongly Disagree
19 I think my teachers’ grading is fair and consistent.
Strongly Agree Agree Neither Agree or Disagree Disagree Strongly Disagree
20. My teachers use a variety of methods to assess my learning (e.g., tests, oral presentations,
reports, research papers/projects, etc.).
Strongly Agree Agree Neither Agree or Disagree Disagree Strongly Disagree
21. I feel safe at school.
Strongly Agree Agree Neither Agree or Disagree Disagree Strongly Disagree
22. Teachers respect students.
Strongly Agree Agree Neither Agree or Disagree Disagree Strongly Disagree
23. Students respect teachers.
Strongly Agree Agree Neither Agree or Disagree Disagree *Strongly Disagree
24. Students respect one another.
25. I think bullying is a problem at my school during the school day.
Strongly Agree Agree Neither Agree or Disagree Disagree Strongly Disagree
26. I think bullying is a problem at my school outside of the school day.
Strongly Agree Agree Neither Agree or Disagree Disagree Strongly Disagree
27. Teachers at my school are concerned about my learning.
Strongly Agree Agree Neither Agree or Disagree Disagree Strongly Disagree
28. I feel teachers at TMS care about me.
Strongly Agree Agree Neither Agree or Disagree Disagree Strongly Disagree
29. I know who to ask for help at school if I have a personal problem.
Strongly Agree Agree Neither Agree or Disagree Disagree Strongly Disagree
30. I am comfortable going to the guidance counselor.
Strongly Agree Agree Neither Agree or Disagree Disagree Strongly Disagree
31. My school has a wide range of programs and services.
Strongly Agree Agree Neither Agree or Disagree Disagree Strongly Disagree
32. The school building is clean and well maintained.
Strongly Agree Agree Neither Agree or Disagree Disagree Strongly Disagree
33. The school’s facility adequately supports its programs and services (e.g., classrooms,
science labs, computer labs, the library/media center, guidance office, gym, auditorium, and cafeteria).
Strongly Agree Agree Neither Agree or Disagree Disagree Strongly Disagree
Please share any additional comments or feedback:
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