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School: Airport Arden Aspen Park Brooklyn Courtenay Elementary Cumberland Elementary Cumberland Jr Denman Island Ecole Puntledge Park Ecole Robb Road Highland Hornby Huband Park Isfeld Lake Trail Miracle Beach Nala'atsi Queneesh Royston Sandwick Valley View Vanier
Grade: Kindergarten 1 2 3 4 5 6 7 8 9 10 11 12
1. Do you like school? Yes No
2. Is your school a fun place to be? Yes No
3. Have you and your family considered other educational programs such as home-schooling, distance education or tutoring services? Yes No
4. If you answered yes above, please check what you have considered: Home schooling Distance education Tutoring services Altenative education
5. Do you feel your teachers care for you? Yes No
6. Do any adults in the school seem interested in the same things as you? Yes No
7. Do you have opportunities to meet with school staff to discuss issues important to your education? Yes No
8. Do you have difficulty understanding teacher instructions? Yes No
9. Please list your preference from greatest to least for the following activities: (1 being least, 5 being greatest)
10. Do you feel welcomed at school? Yes No
11. Do you feel safe at school? Yes No
12. Do you feel stress about attending school? Yes No
13. If yes, can you describe the stress?
14. Do you feel picked on, teased or bullied at school? Yes No
15. Do you do your best to treat others with respect? Yes No
16. Do you follow the school rules? Yes No
17. Do you skip school? Yes No
18. If you answered yes to question 17, please give a reason why:
19. Do students who break rules get in trouble? Yes No
20. Do you have access to supportive programs at your school? Yes No
21. If yes, please indicate the name of the supportive program at your school
22. Please check your aptitudes and potential strengths: Mathematics Scientific Trades Athletics Artistic Musical Theatrical Technology Leadership Other (please specify below)
23. Do you have opportunities for cultural expression at your school? (Opportunities for cultural expression would include times where students can share their Aboriginal ideas, values and celebrations with students and teachers.) Yes No
24. If yes, please indicate the nature of the cultural expression at your school.
25. Do you participate in student groups at school? Yes No
26. If yes, please indicate the student group.
27. Do you voluntarily help and do service around the school? Yes No
28. If yes, please describe what the service was.
29. Are you part of a school sports team? Yes No
30. If yes, what team?
31. If you could change anything in the school, what would that be?