Acculturation Survey

In order to better determine how to help our students at CHS, please complete this survey to the best of your ability! All answers will be kept confidential:
Name: 


A red asterisk (*) indicates required questions.

  1. Which statement below best describes your parents' attitudes about school?*
    They value school a lot and really encourage me to do well.
    They value school.
    They don't really care if I do well in school or not.
    They didn't do well in school and don't expect me to either.
    I don't know how they feel.
    None of the above


  1. What statement below best describes your attitude about school?
    I really value school and work hard to do well.
    I value school and put forth some effort.
    I don't really care if I do well in school or not.
    I just want to pass.
    I don't care if I pass or not; I don't care if I graduate.
    None of the above


  1. What statement below best describes your attitude about you?
    I know I am going to be successful and happy in life no matter how I do in school.
    I know I am going to be a failure in life not matter how I do in school.
    I think the better I do in school, the better I'll do in life.
    I have control of my future.
    I don't have control of my future.


  1. What statement below best describes your family?
    I live with my biological mom and dad.
    I live with one biolgical parent and one step-parent.
    I go back and forth between two families/ two homes.
    I live with a relative or guardian, not a biological parent.
    I live in a single-parent home; my other parent isn't really in my life.
    I do not really have a permanent place to stay; I stay with different people.
    None of the above


  1. What statement below best describes your financial security?
    We usually need some help from either Welfare or friends/ relatives to pay our bills.
    We usually have enough money to pay our bills but that is about all.
    We have plenty of money and can do other things like go to movies, ski, or shop.
    We have more than enough money and live very comfortably.
    I don't know what our money situation is like.


  1. What statement below best describes your level of conflict and security in your life outside of school?
    We usually need some help from either Welfare or friends/ relatives to pay our bills.
    We usually have enough money to pay our bills but that is about all.
    We have plenty of money and can do other things like go to movies, ski, or shop.
    We have more than enough money and live very comfortably.
    I don't know what our money situation is like.





Rebecca Rodina