Student Safety Survey
Name: 


  1. Are there any places in the building or any times of the day when you feel unsafe? If so, explain.


  1. This school year, have you been physically harmed at school?
    Yes
    No


  1. Are you aware of any of your fellow students having been harmed at school this school year?
    Yes
    No


  1. This school year, have you or any of your friends been threatened or bullied?
    Yes
    No


  1. If you answered "yes" to #4, what was the school’s response to the situation?


  1. To your knowledge, are there weapons in this school building or on school grounds?
    Sometimes
    Never


  1. To your knowledge, are there drugs in this school building or on school grounds?
    Sometimes
    Never


  1. Have you ever seen alcohol or other drugs being used, bought, or sold at the school?
    Sometimes
    Never


  1. If you knew that there was the potential for danger or harm being done to yourself or others at this school, would you tell some adult about this?
    Yes
    No


  1. Do the teachers and principals in this school encourage students to report incidents of harassment, bullying, threats, ect.?
    Yes
    No


  1. Are you aware of any gang activity at this school?
    Yes
    No


  1. Do students who get into fights get help in learning how to resolve conflicts without fighting?
    Yes
    No


  1. Are there programs in this school to help students whose grades are failing?
    Yes
    No


  1. Does this school have any groups of students that “run” the school?
    Yes
    No


  1. In your opinion, how serious are the following problems in your school?

            1 2 3 4      
      Vandalism Don't Know Serious Problem  
      Gang Activity Don't Know Serious Problem  
      Alcohol Use Don't Know Serious Problem  
      Drug Use Don't Know Serious Problem  
      Tobacco Use Don't Know Serious Problem  
      Drug Selling Don't Know Serious Problem  
      Weapons Don't Know Serious Problem  
      Bullying  Don't Know Serious Problem  
      Physical Fights Don't Know Serious Problem  
      Respect for teachers Don't Know Serious Problem  
      Respect for students Don't Know Serious Problem  


  1. Is there a safety issue that, in your opinion, is not being addressed to eliminate the problem? Do you have any recommendations for ways to address the issue?





Mrs. Jessup
Moody MS ITRT
George H. Moody Middle School
Henrico, VA