DRAFT DiuelmioxÉ I clpmia É a d Ekpiox High Schaal Sopde o ...

5/26/2021 DRAFT Diversity, Inclusion, and Equity High School Student Survey

https://docs.google.com/forms/d/1LySXXTGA_X2u-nlPcfd2ltYBtUbNqee0AjGAmXjw-u8/edit 1/23

Information about youPlease answer the following questions about yourself.

1.

Mark only one oval.

9th

10th

11th

12th

2.

Mark only one oval.

Other:

Redding

Easton

DRAFT Diversity, Inclusion, and EquityHigh School Student SurveyHello, Students!

We need your help! We are conducting this survey to assess key social and educational issues that affect how students feel in school. This survey contains questions about you and your experiences in school, with a special focus on how you and others are treated. Your answers to these questions will help ensure a positive experience for all students. Thank you for taking the time to share your thoughts. This survey will take 10-15 minutes to complete.

This survey is anonymous, and your responses will be kept confidential. Because the survey is anonymous, we encourage you to be completely honest when answering these questions. There are no “right” or “wrong” answers. You can also skip a question at any time.

Which grade are you in?

In which town do you live?



3.

Other:

Check all that apply.

African American or Black

Asian

South Asian (Asian Indian, Bangladeshi, Sri Lankan)

Native Hawaiian or Other Pacific Islander

Native American, American Indian or Alaska Native

White or Caucasian

Hispanic or Latino / Latina

Middle Eastern or Arab American

Prefer not to answer

Gender and Sexual Orientation

4.


Male

Female

Nonbinary

Cis

Trans

Genderqueer

Not sure/Questioning


I am not familiar with some or all of these terms.

Prefer to self-describe below

5.

What is your race or ethnicity (Please check all that apply to you).

Below is a list of terms that people use to describe their gender. Please check allthat apply to you.

Self-describe here



6.

Other:


Gay

Lesbian

Bisexual

Pansexual

Straight / Heterosexual

Questioning/Not sure

Queer

Asexual


I am not familiar with some or all of these terms.

Disabilities/Learning Difficulties

Below is a list of terms that people use to describe their sexuality or sexualorientation. Please check all those terms that apply to you.



7.

Other:


Visual impairment

Hearing impairment

Disability affecting mobility / wheelchair user

Other physical disability

Emotional behavioral disability

Mental illness

Temporary disability after illness

Profound / complex disabilities

Multiple disabilities

Moderate learning difficulty

Severe learning difficulty

Dyslexia

Dyscalculia

Other specific learning difficulty

Multiple learning difficulties

I don't have any disabilities or learning difficulties

Middle SchoolExperience

Please answer the following questions about your experience in middle school.

8.

Mark only one oval.

Other:

Helen Keller Middle School

John Read Middle School

Do you consider yourself to have any of the following disabilities or learningdifficulties? (Please check all that apply)

Where did you attend middle school? (Choose the last middle school you attended.)



9.


Extracurricular Activities

10.

Mark only one oval.

Yes

No

Tell us about your middle school experience.

Hellen Keller MiddleSchool

John Read MiddleSchool

Other

I had a close group of friends atthis school.

I felt safe at this school.

I felt accepted by the otherstudents at this school.

I felt accepted by the staff at thisschool.

I saw people like me represented inschool resources and homework.

I did not feel safe or accepted inmiddle school.

I had a close group of friends atthis school.

I felt safe at this school.

I felt accepted by the otherstudents at this school.

I felt accepted by the staff at thisschool.

I saw people like me represented inschool resources and homework.

I did not feel safe or accepted inmiddle school.

I am involved in school-based extra-curricular activities such as athletics, clubs,school activities, and/or committees.



11.

Other:


Cost

Time

Transportation unavailable

I do not feel safe or comfortable

I don't know

12.

Mark only one oval.

Strongly agree

Somewhat agree

Neutral

Somewhat disgree

Strongly disagree

13.

Experiences at School and on SchoolTransportation

Please answer the following questions about your experiences in school.

If no, please explain why (check all that apply)

I feel welcome at all social events at my school.

If you selected "somewhat disagree" or "strongly disagree", please explain why.



14.

Mark only one oval per row.

15.


Rate the level to which you feel the following at school.

Frequently Sometimes Rarely Never

Safe

Included

Respected

Safe

Included

Respected

Rate the level to which you feel the following at school.

Never Rarely Sometimes Frequently

Uncomfortable

Embarrassed

Humiliated

Uncomfortable

Embarrassed

Humiliated



16.


Rate the interactions you've had with students in school about the following?(Remember this is confidential and will not be linked back to you).

This has notbeen an

issue for me

I have beenmade to feel

uncomfortable

I have beenmade to feelembarrassed

I have beenmade to feelhumiliated

Your academic ability orgrades

Your religion (real orperceived)

Your family’s income oreconomic status

Your citizenship status

Your gender identity

How you express yourgender(masculine/feminineclothes, etc)

Your appearance(clothes, hair, etc)

Your foodchoices/allergies/dietaryrestrictions

Your body type (size,weight, height, etc)

Your race or ethnicity(real or perceived)

Your disability (real orperceived)

Your sexual orientation(real or perceived)

Your political views

Your academic ability orgrades

Your religion (real orperceived)

Your family’s income oreconomic status

Your citizenship status

Your gender identity

How you express yourgender(masculine/feminineclothes, etc)

Your appearance(clothes, hair, etc)

Your foodchoices/allergies/dietaryrestrictions

Your body type (size,weight, height, etc)

Your race or ethnicity(real or perceived)

Your disability (real orperceived)

Your sexual orientation(real or perceived)

Your political views



17.

Your native language orstatus as an Englishlanguage learner

Your country or place oforigin

Other reason (pleasespecify in the nextquestion):

Your native language orstatus as an Englishlanguage learner

Your country or place oforigin

Other reason (pleasespecify in the nextquestion):

Because you selected "Other reason" to the previous question, please use thespace below to share your thoughts.



18.


19.

Bullying/Harassment

How comfortable or safe do you feel in these places?

I always feelcomfortable

or safe

I frequentlyfeel

comfortableor safe

I rarely feelcomfortable

or safe

I never feelcomfortable

or safe

Doesnot

applyto me

Bathrooms

Cafeteria or lunchroom

PE class/Locker rooms

Hallways/stairwells

School buses

School grounds/athleticfields

Schoolfunctions/Extracurricularactivities

Another space not listedabove (please specify inthe next question):

Bathrooms

Cafeteria or lunchroom

PE class/Locker rooms

Hallways/stairwells

School buses

School grounds/athleticfields

Schoolfunctions/Extracurricularactivities

Another space not listedabove (please specify inthe next question):

Because you answered "Another space not listed above" to the previous questions,please use the space below to share your thoughts.



20.

Other:


No, I have not felt bullied at this school

I have felt physically bullied

I have felt verbally bullied

I have felt socially bullied (ex. mean rumors and/or lies spread about you)

I have felt cyber-bullied ( on social media, dm’s, and/or texts)

21.

Mark only one oval.

Yes

No

Does not apply, I have never witnessed, been harassed, or been bullied in school

22.

Mark only one oval.

Very effective

Somewhat effective

Not effective

Made things worse

Not sure

SchoolCulture

Please answer the following questions about the culture and atmosphere in your school.

Have you ever felt bullied in this school? Bullying is defined as someone being hurton purpose, either verbally or physically, in a targeted and repetitive way. (check allthat apply)

Have you ever reported when you or someone else is harassed or bullied in schoolto a teacher, the principal or other school staff person?

Because you answered "Yes" to the previous question: How effective was the staffresponse in addressing the problem the last time you reported it?



23.


Please indicate the extent to which you agree with the following statements:

Stronglyagree

Somewhatagree

NeutralSomewhatdisagree

Stronglydisagree

I don'tknow

I see myself as avaluable member ofthe schoolcommunity.

I feel that mycontributions arevalued in class.

I have chances tohelp decide what isbest for the class orschool.

I am encouraged andsupported by staff tochallenge myselfacademically.

I see myself as avaluable member ofthe schoolcommunity.

I feel that mycontributions arevalued in class.

I have chances tohelp decide what isbest for the class orschool.

I am encouraged andsupported by staff tochallenge myselfacademically.



24.


In your school, have you noticed a change in the number of incidents of bias,mistreatment, and/or bullying of students primarily because of their...

It’sincreasing

It’s about thesame

It’sdecreasing

I don’tknow

Their academic ability or grades

Their religion (real or perceived)

Their family’s income or economicstatus

Their citizenship status

Their gender identity

How they express their gender(masculine/feminine clothes, etc)

Their appearance (clothes, hair,etc)

Their foodchoices/allergies/dietaryrestrictions

Their body type (size, weight,height, etc)

Their race or ethnicity (real orperceived)

Their disability (real or perceived)

Their sexual orientation (real orperceived)

Their political views

Their native language or status asan English language learner

Their country or place of origin

Other reason (please specify in the

Their academic ability or grades

Their religion (real or perceived)

Their family’s income or economicstatus

Their citizenship status

Their gender identity

How they express their gender(masculine/feminine clothes, etc)

Their appearance (clothes, hair,etc)

Their foodchoices/allergies/dietaryrestrictions

Their body type (size, weight,height, etc)

Their race or ethnicity (real orperceived)

Their disability (real or perceived)

Their sexual orientation (real orperceived)

Their political views

Their native language or status asan English language learner

Their country or place of origin

Other reason (please specify in the



25.

Beliefs About School

26.


next question):next question):

Because you selected 'Other" to the previous question, please use the space belowto share your thoughts.


Stronglyagree

Somewhatagree


Stronglydisagree

I don'tknow

My school values thedifferences in ourcommunities.

Different types ofpeople are treateddifferently in myschool andcommunity.

I feel I can safelybring my whole selfto school, includingall parts of myidentity (eg: race,religion, gender orgender identity,disability, sexualidentity).

My school values thedifferences in ourcommunities.

Different types ofpeople are treateddifferently in myschool andcommunity.

I feel I can safelybring my whole selfto school, includingall parts of myidentity (eg: race,religion, gender orgender identity,disability, sexualidentity).



Discussing Diversity, Equity & Inclusion Topics in School



27.



Stronglyagree

Somewhatagree


Stronglydisagree

Thesetopics are

notdiscussed

in class

I don'tknow

There areopportunitiesin myclasses totalk aboutrace.

If we talkabout race inmy classes,it is done in away thatmakes mefeelcomfortable.

There areopportunitiesin myclasses totalk aboutgender andgenderidentity.

If we talkabout genderand genderidentity in myclasses, it isdone in away thatmakes mefeelcomfortable.

There areopportunitiesin my

There areopportunitiesin myclasses totalk aboutrace.

If we talkabout race inmy classes,it is done in away thatmakes mefeelcomfortable.

There areopportunitiesin myclasses totalk aboutgender andgenderidentity.

If we talkabout genderand genderidentity in myclasses, it isdone in away thatmakes mefeelcomfortable.

There areopportunitiesin my



in myclasses totalk aboutsexualorientation.

If we talkabout sexualorientation inmy classes,it is done in away thatmakes mefeelcomfortable.

There areopportunitiesin myclasses totalk aboutdifferencesin learning orphysicalabilities.

If we talkaboutdifferencesin learning orphysicalabilities inmy classes,it is done in away thatmakes mefeelcomfortable.

There areopportunitiesin myclasses totalk aboutreligion.

If we talkaboutreligion in my

in myclasses totalk aboutsexualorientation.

If we talkabout sexualorientation inmy classes,it is done in away thatmakes mefeelcomfortable.

There areopportunitiesin myclasses totalk aboutdifferencesin learning orphysicalabilities.

If we talkaboutdifferencesin learning orphysicalabilities inmy classes,it is done in away thatmakes mefeelcomfortable.

There areopportunitiesin myclasses totalk aboutreligion.

If we talkaboutreligion in my



28.


Sharing Your Views in Class

classes, it isdone in away thatmakes mecomfortable.

classes, it isdone in away thatmakes mecomfortable.

Please indicate the extent to which you agree with the following statements.

Stronglyagree

Agree Neutral DisagreeStronglydisagree

I don'tknow

I see people of manyraces, cultures, andidentities represented inthe resources used inclass and homework.

My teachers presentpositive images of peoplefrom a variety of races,cultures, and identities.

My teachers useexamples of races,cultures, and identitieslike mine.

I see people of manyraces, cultures, andidentities represented inthe resources used inclass and homework.

My teachers presentpositive images of peoplefrom a variety of races,cultures, and identities.

My teachers useexamples of races,cultures, and identitieslike mine.



29.


School Discipline

Please indicate the extent to which your ability to comfortably share your views inclass is affected by

Alwayscomfortable

Sometimescomfortable

Rarelycomfortable

Nevercomfortable

Notaffectedby this

Unsure

Your race

Yourgenderidentity

You sexualorientation

Yourpoliticalperspective

Yourlearningdifficulty

Yourreligion orperceivedreligion

Yourdisability orperceiveddisability

Your nativelanguageor statusas anEnglishlanguagelearner

Your race

Yourgenderidentity

You sexualorientation

Yourpoliticalperspective

Yourlearningdifficulty

Yourreligion orperceivedreligion

Yourdisability orperceiveddisability

Your nativelanguageor statusas anEnglishlanguagelearner



30.


Teacher Support

31.


Inclusivity of School Resources

Regarding school discipline procedures...

Stronglyagree


I don'tknow

The punishment forbreaking school rules isthe same no matter whoyou are.

I believe I would receivethe same punishment asothers for breaking aschool rule.

The punishment forbreaking school rules isthe same no matter whoyou are.

I believe I would receivethe same punishment asothers for breaking aschool rule.


Stronglyagree


I don'tknow

If I have a problem inclass, I feel comfortabletalking to most of myteachers about it.

My teachers treat me thesame as the otherstudents.

If I have a problemoutside of class, there areadults in the school who Ican turn to for help.

If I have a problem inclass, I feel comfortabletalking to most of myteachers about it.

My teachers treat me thesame as the otherstudents.

If I have a problemoutside of class, there areadults in the school who Ican turn to for help.



32.


33.

Mark only one oval.

Yes

No

Don't know

34.

Mark only one oval.

Very accepting

Somewhat accepting

Somewhat unaccepting

Not at all accepting

Don't know

Are you able to access school resources regardless of

Yes No Sometimes Not sure Does not apply to me

Neurodiversity

Physical disability

Native language

Neurodiversity

Physical disability

Native language

Are you able to find books or online resources in the school to learn about LGBTQ+history and events?

In your opinion, how accepting do you think students at your school are of peoplewho are different from them?



35.

Mark only one oval.

Very acceptive

Somewhat accepting

Somewhat unaccepting

Not at all accepting

Don't know

Learning Model for 2020-21 School

36.

Mark only one oval.

Mostly learning at home

About equal amount of learning at home and at school

Mostly learning in school

Additional Feedback

37.

In your opinion, how well does your school administration (principal, vice principal,etc.) create a welcoming school for all students?

Roughly, what percentage of the year did your student spend learning virtuallyversus learning at home?

Do you have any other information you would like to share about your experiencesin your school or about the school climate?



38.

39.

Thank you for completing the survey. If you have concerns or would like toparticipate in a community conversation regarding Diversity, Equity, and Inclusion,please contact your school principal.

This content is neither created nor endorsed by Google.

Are there any specific student supports you would like to see offered?

What should members of our school community do to improve diversity, equity,and inclusion in our schools?

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