15-16 District Base Survey 9-12

Think about your experience as you read each statement below. Then choose the response that best describes if you agree or disagree with each statement.

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In the past 30 days, I have had at least one drink of alcohol.   

 

 

I have been bullied on campus in the last 30 days.  

 

 

In the past 30 days, I did not go to school because I felt unsafe at school or on my way home from school at least once.   

 

 

I have been made fun of by a teacher in the last 30 days.  

 

 

In the last 30 days I have smoked Marijuana at least once.  

 

 

In the past year, I have been offered, sold, or given illegal drugs by someone on school property.   

 

 

I have friends my age that really care about me.   

 

 

There are activities here at school that I enjoy participating in.  

 

 

There is a lot of tension at my school between different cultures, races, or ethnicities.   

 

 

At my school, there is a teacher or other adult who really cares about me.  

 

 

In the past 30 days I have smoked cigarettes at least once.   

 

 

I do not go to any of the activities on campus, because I do not have anyone to go with.