Survey Page2

Home Survey Page2

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  1. Are you:
    1. Male
    2. Female
  2. What grade are you in?
    1. 7
    2. 8
    3. 9
    4. 10
    5. 11
    6. 12
  3. Do you live with both of your parents?
    1. Yes
    2. No
  4. How old are you?
    1. 11 or younger
    2. 12
    3. 13
    4. 14
    5. 15
    6. 16
    7. 17
    8. 18
    9. 19+
  5. a. Are you Hispanic or Latino?
    1. Yes
    2. No
  6. b. What is your race? (DARKEN ONE BUBBLE ONLY)
    1. American Indian or Alaska Native
    2. Asian
    3. Black or African American
    4. Native Hawaiian or Other Pacific Islander
    5. White
    6. Some other race
    7. More than one race
  7. On average what grades do you get? (DARKEN ONE BUBBLE ONLY)
    1. Mostly A's
    2. Mostly B's
    3. Mostly C's
    4. Mostly D's
    5. Mostly F's
  8. Do you have a job?
    1. Yes
    2. No
  9. During the current school year, do you qualify for a free or reduced price school lunch?
    1. Yes
    2. No
    3. Don't Know
  10. Do you regularly participate in any of the following extra-curricular activities? (DARKEN ONE BUBBLE FOR EACH LINE: a-i)

    Yes No
    a. School athletics (UIL, Varsity, Junior Varsity)
    b. School band/orchestra
    c. School choir
    d. Drill team or cheerleading squad
    e. Student government, newspaper or yearbook
    f. Academic clubs, societies, or competition groups (UIL, Language Club, Math Club, etc.)
    g. Other school clubs or student groups
    h. Athletic teams OUTSIDE of school
    i. Other clubs or groups OUTSIDE of school


  11. How safe do you feel when you are: (DARKEN ONE BUBBLE FOR EACH LINE: a-c.)

    Very Safe Somewhat Safe Not Very Safe Not Safe At All Don't Know
    a. in your home?
    b. out in your neighborhood?
    c. at school?


    12. The next questions ask about your parents. If you were raised mostly by foster parents, step-parents, or others, answer for them. For example, if you have both a step-father and a natural father, answer for the one that was most important in raising you.

  12. What is the highest level of schooling completed by ...

    Completed grade school or less Some high school Completed high school Some college Completed college Graduate or professional school after college Don't Know or Doesn’t Apply
    a. your father?
    b. your mother?


  13. Do one or both of your parents usually attend school-sponsored open houses or PTA meetings?
    1. Yes
    2. No