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2008/2009 PBIS and Gender Equity Survey


A red asterisk (*) indicates required questions.

  1. Are you a girl or a boy?

    *
    Girl
    Boy


  1. What is your primary race/ethnicity?

    *
    American Indian/Native American
    Asian/Pacific Islander
    White/Caucasian
    African American/Black
    Hispanic/Latino
    Multi-racial
    Other


  1. What is your current grade in school?

    *
    5th Grade
    6th Grade
    7th Grade
    8th Grade


  1. Are there any athletics or activities that we do not offer that you would like us to add? Please list them below.*


  1. Do you think there are equal opportunities for boys and girls to participate in athletic activities?*
    Very Equal
    Somewhat Equal
    Slightly Unequal
    Very Unequal
    No Opinion


  1. In 6th, 7th, and 8th grade, do you think there are equal chances for boys and girls to participate in other activities including band, chorus, speech club, and student council?
    Very Equal
    Somewhat Equal
    Slightly Unequal
    Very Unequal
    No Opinion


  1. Are boys and girls treated equally in sports at Manteno Middle School?

    *
    Yes
    No


  1. What are the three PBIS expectations?*


  1. Do you feel PBIS makes Manteno Middle School a better place to be?*
    Yes
    No
    I Don't Know


  1. Do you save Panther Paws?*
    Yes
    No
    Sometimes


  1. Do you buy items/certificates from the PBIS cart?*
    Yes
    No
    Sometimes


  1. What other items would you like to see available on the PBIS cart?*


  1. Which PBIS incentive events did you like this year? (IPODS in Advisory, Dances, Movies, Candy, etc)*


  1. Were you asked to be a part of the PBIS Olympics Team?*
    Yes
    No


  1. What other incentive events would you like to see?*


  1. Is bullying a problem at Manteno Middle School?*
    Yes
    No
    I Don't Know


  1. Have you been in trouble for picking on, bullying, or harassing another student?*
    Never
    Once or Twice
    3 - 5 Times
    6 or more


  1. Have you started rumors or repeated lies about someone at school?*
    Yes
    No
    I Don't Know


  1. Have you ever been bullied or harassed by another student at school?*
    Yes
    No
    I Don't Know


  1. How many times have you missed school because of fears of being hurt or bullied by other students?*
    Never
    Once or Twice
    More than 3 Times


  1. Do school staff members try to protect students from bullying/harassment?*
    No, they ignore it
    Sometimes, if it's bad enough
    Usually
    Always, bullying is not allowed in our school


  1. If you have been bullied, where were you? (Please check all that apply)
    in a classroom
    in the restroom
    in the hallway
    on the bus
    in the parking lot
    at school activities(assemblies, etc.)
    in the cafeteria
    at home
    on the phone
    over the internet


  1. How did you learn about school rules regarding violence, bullying and harassment?*
    Student Handbook
    School Presentation/Assemblies
    Signs and Posters
    Classroom Presentations
    I don't know what the rules are


  1. My teachers contact my family if I am having problems learning. *
    Yes
    No
    Sometimes
    I don't know


  1. My teachers care about me as a person.
    Don't Agree at all
    Agree slightly
    Agree mostly
    Agree completely


  1. The teachers and other adults in my school show respect for each other.
    Don't Agree at all
    Agree slightly
    Agree mostly
    Agree completely


  1. Whom would you tell if you were being bullied or harassed by another student? (Please check all that apply)*
    No one
    Teacher
    School Counselor
    Dean
    Principal
    Friend
    Teacher
    Parent/Guardian


  1. I know how to get help from an adult at school if I need it.
    Don't Agree at all
    Agree slightly
    Agree mostly
    Agree completely


  1. I know who my School Counselor is*
    Yes
    No


  1. I believe my School Counselor can help me if I need help*
    Yes
    No
    I don't know


  1. I have met with my School Counselor*
    Yes
    No
    I don't know