HMS Wellness Survey

The Holcomb District Health Committee would like you to take this short survey to help determine the climate of the middle school. Please answer the questions thoughtfully and seriously. the information will aid the committee with decisions about how to help improve our middle school.


A red asterisk (*) indicates required questions.

  1. If you are not involved in any sport (including cheer and dance), what type of activity or activities would you be interested in? Please mark all that apply to you.*
    Aerobics Class (Dance, Zumba, Step, Kickboxing, Interval Training, etc.)
    Water Exercise Class
    Use of the Holcomb Rec. Wellness Center at a reduced fee
    Strength training
    Nutrition/ Wellness Education Classes
    Wii Fit Class
    Walking Group (Go for walks on the track or around Holcomb or inside somewhere)
    5K, 10K, Half Marathon or Triathalon Training
    Intramurals (Compete in such games as ping pong, tennis, golf, etc. amongst Holcomb students)
    Other ideas not listed above please write below in the next question


  1. Please list any other ideas for activities we could provide to you students that will help you to be active.*


  1. Are you interested in attending a family wellness night in which students and their families could participate in lessons and activities about health and wellness?*
    Yes
    No


  1. Do you feel there is a bullying problem here at Holcomb Middle School?*
    Yes
    No


  1. What do you feel are the reasons for the bullying issues at our middle school, if there are any?*


  1. What do you feel is the biggest problem facing our students at the middle school? Please rank the issues below in order from Greatest to Least, with 1 being the Greatest and 8 being the Least.*

          1 2 3 4 5 6 7 8    
      Alcohol   
      Tobacco (Cigarettes, Chew, etc.)   
      Marijuana (Pot, Weed)   
      Harder Illegal Drugs (Cocaine, LSD, Heroine, etc.)   
      Teen Pregnancy, being Sexually Active   
      Bullying   
      Obesity   
      Sniffing Inhalants (Huffing)   


  1. List any other issues of importance you think the students here at Holcomb Middle School are facing that weren't listed above.*


  1. What types of rewards do you earn at home for doing something good -- whether its sports, grades, proper behavior, doing something nice for others, etc.?*


  1. Do you feel that HMS is a positive place?*
    Yes
    No


  1. Do you feel that you belong in this school?*