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Survey
Complete the questions below.
Please answer the following questions about your school placement at The Baby Fold. Please say how you really feel and not what you think other people or staff would want you to say. For each question, please choose the option that best descripes your answer.
Email
*
Age
*
Choose One
*
Male
Female
Residential Placement
*
Yes
No
What class are you in?
*
Class 1 Doran/Chapman
Class 2 Dunlap/Burlin
Class 3 Hughes/Simmons
Class 4 Henkel/Bye
Class 5 Cuttone/German
Class 6 Gilbert/Krone
1. Do you feel safe at school?
1. Choose One
*
Never
Sometimes
Always
2. Do you think your teachers keep you safe in the classroom when other students are having problems?
2. Choose One
*
Never
Sometimes
Always
3. Do you have all the school supplies that you need, like paper, pencils, notebooks, etc.?
3. Choose One
*
Never
Sometimes
Always
4. Do you like the food that is served?
4. Choose One
*
Never
Sometimes
Always
5. Is your classroom neat and clean?
5. Choose One
*
Never
Sometimes
Always
6. Do you think your teachers listen to you when you have a problem or need something?
6. Choose One
*
Never
Sometimes
Always
7. Do you think your teachers treat you fairly?
7. Choose One
*
Never
Sometimes
Always
8. Do you think the rules in the classroom are fair? (Do other students have to follow the same rules you do?)
8. Choose One
*
Never
Sometimes
Always
9. Do you think the consequences given by your teachers are fair?
9. Choose One
*
Never
Sometimes
Always
10. If you were restrained or saw a restraint, did you feel the teachers were doing the restraint for your safety or others safety?
10. Choose One
*
Never
Sometimes
Always
11. If you were placed in the hallway or saw a student being placed in the hallway, did you feel that it was necessary?
11. Choose One
*
Never
Sometimes
Always
12. Do you think your teachers care about you and about your problems?
12. Choose One
*
Never
Sometimes
Always
13. If you take medication, do you understand how it is supposed to help you?
13. Choose One
*
Never
Sometimes
Always
Do not take medication.
14. If you meet with a speech therapist at school, do you think it helps you with your problems?
14. Choose One
*
Never
Sometimes
Always
Do not meet with a speech therapist.
15. Do you know your classroom goals (point sheet)?
15. Choose One
*
None
Some (1-2)
Most (3 or more)
16. Did you help to decide your IEP goals?
16. Choose One
*
Not at all
Some
Very much
17. Are your teachers helping you to work on your IEP goals?
17. Choose One
*
Not at all
Some
Very Much
18. Are you making progress on your IEP goals?
18. Choose One
*
Not at all
Some
Very much
19. Are you learning how to read, write, and do math better?
19. Choose One
*
Not at all
Some
Very much
20. Are you making better choices with your behavior?
20. Choose One
*
Not at all
Some
Very much
21. Are you learning how to be a better person and friend?
21. Choose One
*
Not at all
Some
Very much
22. Have you learned what kinds of jobs are available to you?
22. Choose One
*
Not at all
Some
Very much
23. Have you learned some ideas on
how
to get a job?
23. Choose One
*
Not at all
Some
Very much
24. Have you learned some things you need to do to keep a job?
24. Choose One
*
Not at all
Some
Very much
25. How would you rate being at Hammitt Junior Senior High School in general?
25. Choose One
*
Really Awful
Not Very Good
OK
Pretty Good
Great!
26. Do you know your plan for leaving Hammitt Junior Senior High School?
26. Choose One
*
I know where I am going and when I am leaving.
I know where I am going but not when I am leaving.
I am not sure where I am going or when I am leaving.
School staff have not discussed my plan for leaving with me.
27. How long have you been at Hammitt Junior Senior High School?
27. Type your answer here.
*
27b. How do you feel about how long you have been at Hammitt Junior Senior High School?
27b. Comment
*
28. If you could change anything about Hammitt Junior Senior High School, what would you change? (Be serious)
28. Comment
*
29. What else can your teachers do to help you?
29. Comment
*
30. What would you like to say about Hammitt Junior Senior High School in general?
30. Comment
*
Submit