Na - Student
Na - Student
Na - Student
Survey
Student ID number _____________________
Part 1: Basic Information
1. I am in
6
th
Grade 7
th
Grade 8
th
Grade
2. I am a
Female Male
3. The group(s) that best describes me is (circle all that apply)
Asian Hispanic/Latino White African American
Native Hawaiian/Pacific Islander American Indian
Multi-racial Other
Part 2: Questions About You as a Student
Directions: Please circle one response per question using the 3 point scale to best
reflect what you ACTUALLY DO or HAVE DONE as a student. The information
can be used to help identify areas of strength and potential change, so be as
honest as you can be!
1. I set high standards for myself in school
Most of the time Sometimes Never
2. I feel comfortable asking teachers for help on a test or an assignment
Most of the time Sometimes Never
3. I ask for help from my parents when I need help with homework
Most of the time Sometimes Never
4. My parents ask me about what I am learning in school
Most of the time Sometimes Never
5. I attend tutorial
Most of the time Sometimes Never
6. My family and I attend evening events at Highland (Such as: Parent
University, Latino Night, Back to School Pizza Night, etc.)
Most of the time Sometimes Never
7. My teachers treat me with respect
Agree Disagree Dont know
8. If students like their school, they will do better and try harder in classes
Agree Disagree Dont know
9. Highland is a welcoming place for me and my family
Agree Disagree Dont know
10. I know what I do well in school and what I need to work on
Agree Disagree Dont know
11. Overall, I enjoy being a student at Highland Middle School
Agree Disagree Dont know
12. Any other thoughts or concerns you would like to share about your
experience as a student at Highland?
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THANK YOU!