Safety Survey



A red asterisk (*) indicates required questions.


How safe do you feel in the cafeteria?
1= I feel threatened
2= I feel unsafe
3= I feel ok most of the time
4= I feel safe usually
5= I feel safe all of the time*
 
  1 2 3 4 5  
5


How safe do you feel in the hallway?
1= I feel threatened
2= I feel unsafe
3= I feel ok most of the time
4= I feel safe usually
5= I feel safe all of the time*
 
  1 2 3 4 5  
5


How safe do you feel in the bathroom?
1= I feel threatened
2= I feel unsafe
3= I feel ok most of the time
4= I feel safe usually
5= I feel safe all of the time*
 
  1 2 3 4 5  
5


How safe do you feel in after school?
1= I feel threatened
2= I feel unsafe
3= I feel ok most of the time
4= I feel safe usually
5= I feel safe all of the time*
 
  1 2 3 4 5  
5


What programs does the school have to keep you safe?*


How safe do you feel at recess?
1= I feel threatened
2= I feel unsafe
3= I feel ok most of the time
4= I feel safe usually
5= I feel safe all of the time*
 
  1 2 3 4 5  
5


How safe do you feel in the classroom?
1= I feel threatened
2= I feel unsafe
3= I feel ok most of the time
4= I feel safe usually
5= I feel safe all of the time*
 
  1 2 3 4 5  
5


What does it mean to be safe?*


How do you think safety could be improved in the school?*


How safe do you feel at gym?
1= I feel threatened
2= I feel unsafe
3= I feel ok most of the time
4= I feel safe usually
5= I feel safe all of the time*
 
  1 2 3 4 5  
5


How safe do you feel at a school club (drama, basketball, karate, Girl Scouts for example)?
1= I feel threatened
2= I feel unsafe
3= I feel ok most of the time
4= I feel safe usually
5= I feel safe all of the time*
 
  1 2 3 4 5  
5


How safe do you feel at computers?
1= I feel threatened
2= I feel unsafe
3= I feel ok most of the time
4= I feel safe usually
5= I feel safe all of the time*
 
  1 2 3 4 5  
5


Who makes you feel safe?
Choose any that apply*
Students in your class
Students in another class
Teachers
Administration
Specialist Teachers
Nurse
Custodians
Other


How safe do you feel on the bus?
1= I feel threatened
2= I feel unsafe
3= I feel ok most of the time
4= I feel safe usually
5= I feel safe all of the time*
 
  1 2 3 4 5  
5


How safe do you feel at music?
1= I feel threatened
2= I feel unsafe
3= I feel ok most of the time
4= I feel safe usually
5= I feel safe all of the time*
 
  1 2 3 4 5  
5


How safe do you feel at pick-ups?
1= I feel threatened
2= I feel unsafe
3= I feel ok most of the time
4= I feel safe usually
5= I feel safe all of the time*
 
  1 2 3 4 5  
5


How safe do you feel at art?
1= I feel threatened
2= I feel unsafe
3= I feel ok most of the time
4= I feel safe usually
5= I feel safe all of the time*
 
  1 2 3 4 5  
5


What does the school do to keep you safe?*


How safe do you feel in the library?
1= I feel threatened
2= I feel unsafe
3= I feel ok most of the time
4= I feel safe usually
5= I feel safe all of the time*
 
  1 2 3 4 5  
5