Department of Defense Education Activity
Middle School Student Perception Survey
OMB CONTROL NUMBER: 0704-0553
OMB EXPIRATION DATE: 03/31/2022
AGENCY DISCLOSURE NOTICE
The public reporting burden for this collection of information, 0704-0553, is estimated to average 30 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or burden reduction suggestions to the Department of Defense, Washington Headquarters Services, at whs.mc-alex.esd.mbx.dd-dod-information-collections@mail.mil. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number.
Filter Questions:
Students: What is your current grade level?
Please select your school.
Note. SA = Strongly agree; A=Agree; N=Neutral; D=Disagree; SD=Strongly disagree
|
ACADEMIC |
1. |
I think I am learning what I need to know to succeed in later grades or after graduating from high school. (SA, A, N, D, SD) |
2. |
My teachers have high expectations for me to do well in school– they push me to do my best. (SA, A, N, D, SD) |
3. |
My teachers have the same expectations for all the students in their class. (SA, A, N, D, SD) |
4. |
My teachers tell me how I do on my classroom assignments, tests, and homework assignments. (SA, A, N, D, SD) |
5. |
My teachers help me when I don’t understand my schoolwork. (SA, A, N, D, SD) |
|
COMMUNICATION/ENVIRONMENT |
6. |
The principal at this school promptly responds to my phone calls, messages, or emails. (SA, A, N, D, SD) |
7. |
The teachers at this school promptly respond to my phone calls, messages, or emails. (SA, A, N, D, SD) |
8. |
Adults at this school treat all students with respect. (SA, A, N, D, SD) |
9. |
I felt welcomed when I came to this school. (SA, A, N, D, SD) |
|
SENSE OF BELONGING |
10. |
I feel close to people at this school. (SA, A, N, D, SD) |
11. |
I am happy to be at this school. (SA, A, N, D, SD) |
12. |
I feel like I am part of this school. (SA, A, N, D, SD) |
|
CARING RELATIONSHIPS |
13. |
At this school, there are adults that really care about me. (SA, A, N, D, SD) |
14. |
At my school there is a teacher or adult who tells me when I do a good job. (SA, A, N, D, SD) |
15. |
At my school there is a teacher or adult who listens to me when I have something to say. (SA, A, N, D, SD) |
16. |
At my school there is a teacher or adult believes I will be a success. (SA, A, N, D, SD) |
|
WELL BEING |
17. |
In the last 30 days, how often did you feel happy? A) None of the time; B) A little of the time; C) Some of the time; D) Most of the time; E) All of the time. |
18. |
In the last 30 days, how often did you feel like nothing makes you happy? A) None of the time; B) A little of the time; C) Some of the time; D) Most of the time; E) All of the time. |
19, |
In the last 30 days, how often did you feel good about life? A) None of the time; B) A little of the time; C) Some of the time; D) Most of the time; E) All of the time. |
20. |
In the last 30 days, how often did you feel that you do not have much hope? A) None of the time; B) A little of the time; C) Some of the time; D) Most of the time; E) All of the time. |
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SCHOOL SAFETY |
21. |
This school is a safe place. (SA, A, N, D, SD) |
22. a. b. c. d. e. f. g. h. |
During the past 12 months, how many times on school property have you (0 times, 1 time, 2 to 3 times, 4 or more times) -been in a physical fight? -been pushed, shoved, slapped, hit, or kicked by someone who wasn’t just kidding around? -had mean rumors or lies spread about you? -been made fun of because of your looks or the way you talk? -had something stolen or damaged such as your clothing or books? -been made fun of for the color of your skin, origin, or your religion? -received insulting messages through the internet (email, facebook) or on your cell phone? -missed school because you were afraid that someone would hurt you at school or on your way to school? |
|
OVERALL QUESTIONS |
23. |
If I had to give the DoD schools a grade, I would give them…. (A, B, C, D, F |
24. |
If I had to give my school a grade, I would give it….. (A, B, C, D, F |
25. |
This school understands military families. (SA, A, N, D, SD) |
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OPEN COMMENTS (please do not include any names of people in your comments) |
26. |
What is the best thing about this school? |
27. |
If you could suggest one thing you think would make this school better, what would it be? |
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
File Modified | 0000-00-00 |
File Created | 0000-00-00 |