2022 School Survey on Crime and Safety (SSOCS:2022)

2022 School Survey on Crime and Safety (SSOCS:2022)

Appendix B - SSOCS 2022 Questionnaire

2022 School Survey on Crime and Safety (SSOCS:2022)

OMB: 1850-0761

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2022 School Survey on Crime and Safety
(SSOCS:2022)
OMB #1850-0761 v.21

Appendix B – 2022 Questionnaire

National Center for Education Statistics
Institute of Education Sciences
U.S. Department of Education

January 2021

OMB No. 1850-0761; Approval Expires XX/XX/XXXX

SCHOOL SURVEY ON CRIME AND SAFETY
2021–22 SCHOOL YEAR

(Please correct any errors in name, address, and ZIP Code.)

This survey is designed to be completed by the principal or the person(s) most
knowledgeable about school crime and policies to provide a safe environment.

The National Center for Education Statistics (NCES), within the U.S. Department of Education, is
authorized to conduct this survey by the Education Sciences Reform Act of 2002 (ESRA 2002,
20 U.S.C. §9543).
All of the information you provide may be used only for statistical purposes and may not be disclosed,
or used, in identifiable form for any other purpose except as required by law (20 U.S.C. §9573 and 6
U.S.C. §151). Reports of the findings from the survey will not identify participating districts, schools, or
staff. Individual responses will be combined with those from other participants to produce summary
statistics and reports.

PLEASE RESPOND BY:

Conducted by:

Collected by:

U.S. DEPARTMENT OF COMMERCE

U.S. DEPARTMENT OF EDUCATION
NATIONAL CENTER FOR EDUCATION STATISTICS

U.S. CENSUS BUREAU

FORM SSOCS-1

§,$%¤

110106

DEFINITIONS

Cyberbullying – bullying that occurs when willful and
repeated harm is inflicted through the use of
computers, cell phones, or other electronic devices.

The following words are bolded and marked
by an asterisk (*) wherever they appear in the
questionnaire. Please detach and use these
definitions as you respond.
Active shooter – one or more individuals actively
engaged in killing or attempting to kill people in a
populated area; in most cases, active shooters use
firearm(s).

Please tear off this "definitions" sheet to use while completing the survey.

Alternative school – a school that addresses the
needs of students that typically cannot be met in a
regular school program and is designed to meet the
needs of students with academic difficulties, students
with discipline problems, or both students with
academic difficulties and discipline problems.
Arrest – the act of detaining in legal custody. An
"arrest" is the deprivation of a person’s liberty by legal
authority in response to a criminal charge.

Evacuation – a procedure that requires all students
and staff to leave the building. The evacuation plan
may encompass relocation procedures and include
backup buildings to serve as emergency shelters.
Evacuation also includes “reverse evacuation,” a
procedure for schools to return students to the
building quickly if an incident occurs while students
are outside.

At school/at your school – activities happening in
school buildings, on school grounds, on school buses,
and at places that hold school-sponsored events or
activities. Unless otherwise specified, this refers to
normal school hours or to times when school activities
or events were in session.

Firearm or explosive device – any weapon that is
designed to (or may readily be converted to) expel a
projectile by the action of an explosive. This includes
guns, bombs, grenades, mines, rockets, missiles,
pipe bombs, or similar devices designed to explode
and capable of causing bodily harm or property
damage.

Bullying – any unwanted, aggressive behavior(s) by
another youth or group of youths that involves an
observed or perceived power imbalance and is
repeated multiple times or is highly likely to be
repeated. Bullying occurs among youth who are not
siblings or current dating partners.

Gang – an ongoing loosely organized association of
three or more persons, whether formal or informal,
that has a common name, signs, symbols, or colors,
whose members engage, either individually or
collectively, in violent or other forms of illegal
behavior.

Children with disabilities – children having
intellectual disability; hearing impairment, including
deafness; serious emotional disturbance; orthopedic
impairment; autism; traumatic brain injury;
developmental delay; other health impairment;
specific learning disability; deaf-blindness; or multiple
disabilities and who, by reason thereof, receive
special education and related services under the
Individuals with Disabilities Education Act (IDEA)
according to an Individual Education Program (IEP),
Individualized Family Service Plan (IFSP), or services
plan.

Gender identity – one’s inner sense of one’s own
gender, which may or may not match the sex
assigned at birth.

Cohorting – dividing students and teachers into
distinct groups that stay together throughout an entire
school day during in-person classroom instruction.
Limit mixing between groups such that there is
minimal or no interaction between cohorts.
Contract tracing – the process of notifying people
(contacts) of their potential exposure to an infectious
disease, provide information about the virus, and
discuss their symptom history and other relevant
health information.
Distance learning – education that uses one or more
technologies to deliver instruction to students who are
separated from the instructor and to support regular
and substantive interaction between the students and
the instructor synchronously or asynchronously.

2

Diagnostic mental health assessment – an
evaluation conducted by a mental health professional
that identifies whether an individual has one or more
mental health diagnoses. This is in contrast to an
educational assessment, which does not focus on
clarifying a student’s mental health diagnosis.

Harassment – conduct that is unwelcome and
denies or limits a student’s ability to participate in or
benefit from a school’s education program. All
students can be victims of harassment and the
harasser can share the same characteristics of the
victim. The conduct can be verbal, non-verbal, or
physical and can take many forms, including verbal
acts and namecalling, as well as non-verbal conduct,
such as graphic and written statements, or conduct
that is physically threatening, harmful, or humiliating.
Hate crime – a committed criminal offense that is
motivated, in whole or in part, by the offender’s
bias(es) against a race, national origin or ethnicity,
religion, disability, sexual orientation, gender, or
gender identity; also known as bias crime.
Hybrid learning model – some students participate
in virtual learning and other students participate in inperson learning.
Lockdown – a procedure that involves securing
school buildings and grounds during incidents that
pose an immediate threat of violence in or around
the school.

§,#&¤

FORM SSOCS-1
110205

Mental health professionals – mental health services
are provided by several different professions, each of
which has its own training and areas of expertise. The
types of licensed professionals who may provide
mental health services include psychiatrists,
psychologists, psychiatric or mental health nurse
practitioners, psychiatric or mental health nurses,
clinical social workers, and professional counselors.
Physical attack or fight – an actual and intentional
touching or striking of another person against his or
her will, or the intentional causing of bodily harm to an
individual.
Rape – forced sexual intercourse (vaginal, anal, or
oral penetration). This includes sodomy and
penetration with a foreign object. All students,
regardless of sex or gender identity, can be victims of
rape.
Restorative practices – a formal mediation process
led by a facilitator that brings affected parties of a
problem together to explore what happened, reflect on
their roles, find a solution, and ultimately restore
harmony to individual relationships and the larger
community.
Robbery (taking things by force) – the taking or
attempting to take anything of value that is owned by
another person or organization, under confrontational
circumstances, by force or threat of force or violence
and/or by putting the victim in fear. A key difference
between robbery and theft or larceny is that robbery
involves a threat or assault.
School Resource Officer (SRO) – a sworn law
enforcement officer with arrest authority, who has
specialized training and is assigned to work in
collaboration with school organizations.
Sexual assault – an incident that includes threatened
rape, fondling, indecent liberties, or child molestation.
All students, regardless of sex or gender identity, can
be victims of sexual assault. Classification of these
incidents should take into consideration the age and
developmentally appropriate behavior of the
offender(s).
Sexual harassment – conduct that is unwelcome,
sexual in nature, and denies or limits a student’s
ability to participate in or benefit from a school’s
education program. All students, regardless of sex or
gender identity, can be victims of sexual harassment,
and the harasser and the victim can be of the same
sex. The conduct can be verbal, non-verbal, or
physical and can take many forms, including verbal
acts and name-calling, as well as nonverbal conduct,
such as graphic and written statements, or conduct
that is physically threatening, harmful, or humiliating.
FORM SSOCS-1

Sexual misconduct – any act, including, but
not limited to, any verbal, nonverbal, written or
electronic communication or physical activity,
directed toward or with a student regardless of the
age of the student that is designed to establish a
romantic or sexual relationship with the student.
School staff have power over students by virtue of
their position, thus student-staff relationships are not
equal and students cannot be consenting parties to
romantic or sexual relationships.
Sexual orientation – one’s emotional or physical
attraction to the same and/or opposite sex.
Shelter-in-place – a procedure that requires all
students and staff to remain indoors because it is
safer inside the building or a room than outside.
Depending on the threat or hazard, students and
staff may be required to move to rooms that can be
sealed (such as in the event of a chemical or
biological hazard) or without windows, or to a
weather shelter (such as in the event of a tornado).

Please tear off this "definitions" sheet to use while completing the survey.

Mental health disorders – collectively, all
diagnosable mental disorders or health conditions that
are characterized by alterations in thinking, mood, or
behavior (or some combination thereof) associated
with distress and/or impaired functioning.

Site assessment – an assessment that evaluates
the safety, accessibility, and emergency
preparedness of the school’s buildings and grounds.
Theft or larceny (taking things worth over $10
without personal confrontation) – the unlawful taking
of another person’s property without personal
confrontation, threat, violence, or bodily harm. This
includes pocket picking, stealing a purse or
backpack (if left unattended or no force was used to
take it from owner), theft from a building, theft from a
motor vehicle or of motor vehicle parts or
accessories, theft of a bicycle, theft from a vending
machine, and all other types of thefts.
Threat assessment – a formalized process of
identifying, assessing, and managing students who
may pose a threat of targeted violence in schools.
Trauma – an event, series of events, or set of
circumstances that is experienced by an individual as
physically or emotionally harmful or life threatening
and that has lasting adverse effects on the
individual’s functioning and mental, physical, social,
emotional, or spiritual well-being.
Treatment – a clinical intervention addressed at
lessening or eliminating the symptoms of a mental
health disorder. This may include psychotherapy,
medication treatment, and/or counseling.
Vandalism – the willful damage or destruction of
school property, including bombing, arson, graffiti,
and other acts that cause property damage. This
includes damage caused by computer hacking.
Violence – actual, attempted, or threatened fight or
assault.
Weapon – any instrument or object used with the
intent to threaten, injure, or kill. This includes lookalikes if they are used to threaten others.

§,#&¤

110205

3

SURVEY INSTRUCTIONS:
•

For most questions, please mark the box that best reflects your school’s circumstances.
Please mark your response with an "X".

•

Some questions ask for counts or percents. Please place an "X" in the None box, rather than
leaving the item blank, if the number of such items at your school is zero.

•

Defined terms are bolded and marked with an asterisk (*) throughout the survey. A removable
"definitions" sheet is printed on pages 2 and 3 to use as a reference while filling out the
questionnaire.

•

This survey refers to the 2021–22 school year. Please report for the school year to date.

•

Please have this questionnaire filled out by the person(s) most knowledgeable about school
crime and policies used to provide a safe environment.

•

Please keep a copy of the completed questionnaire for your records.

WHERE SHOULD I RETURN MY COMPLETED QUESTIONNAIRE?
Please return your completed questionnaire in the enclosed postage-paid envelope or mail it to:
U.S. Census Bureau
ATTN: DCB/PCSPU, Building 60A
1201 E. 10th Street
Jeffersonville, IN 47132-0001
If you have any questions about this questionnaire, please contact the U.S. Census Bureau at:
1-888-595-1332 or at SSOCS@census.gov.

Paperwork Burden Statement
According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays
a valid OMB control number. The valid OMB control number for this voluntary information collection is 1850-0761. The time required to
complete this information collection is estimated to average 60 minutes per response, including the time to review instructions, search
existing data resources, gather the data needed, and complete and review the information collection. If you have any comments
concerning the accuracy of the time estimate, suggestions for improving this collection, or comments or concerns about the contents
or the status of your individual submission of this questionnaire, please e-mail: SSOCS@census.gov, or write directly to: School
Survey on Crime and Safety (SSOCS), National Center for Education Statistics, Potomac Center Plaza, 550 12th Street SW, Room
#4036, Washington, DC 20202.

4

§,$%¤

FORM SSOCS-1
110304

School Practices and Programs
1.

During the 2021–22 school year, was it a practice of your school to do the following?
• If your school changed its practices during the school year, please answer regarding your
most recent practice.
• Check "Yes" or "No" on each line.
YES

NO

1

2

1

2

1

2

d. Equip classrooms with locks so that doors can be locked from the inside 121

1

2

e. Close the campus for most or all students during lunch 122

1

2

f.

1

2

1

2

1

2

1

2

1

2

1

2

1

2

1

2

1

2

1

2

1

2

1

2

1

2

a. Require visitors to sign or check in and wear badges

110

b. Control access to school buildings during school hours
(e.g., locked or monitored doors, loading docks) 112
c. Control access to school grounds during school hours
(e.g., locked or monitored gates) 114

Provide school lockers to students

138

g. Have “panic button(s)” or silent alarm(s) that directly connect to law
enforcement in the event of an incident 139
h. Provide an electronic notification system that automatically notifies
parents in case of a school-wide emergency 141
i.

Require faculty and staff to wear badges or picture IDs

j.

Use one or more security cameras to monitor the school

k.

Provide two-way radios to any staff

l.

Require metal detector checks on students every day 116

144

146

150

m. Perform one or more random metal detector checks on students

120

n. Perform one or more random sweeps (e.g., locker checks, dog sniffs)
for contraband (e.g., drugs or weapons*) 125
o. Require drug testing for students participating in athletics or other
extracurricular activities 129
p. Require students to wear uniforms

134

q. Enforce a strict dress code 136
r.

Require clear book bags or ban book bags on school grounds

s.

Provide a structured anonymous threat reporting system (e.g., online
submission, telephone hotline, or written submission via drop box) 143

1

2

t.

Require students to wear badges or picture IDs

1

2

1

2

140

142

u. Prohibit non-academic use of cell phones or smartphones during
school hours 153

*A removable "definitions" sheet is printed on pages 2 and 3.
FORM SSOCS-1

§,%$¤

110403

5

2.

Does your school have a written plan that describes procedures to be performed in
the following scenarios?

2

1

2

1

2

1

2

e. Chemical, biological, or radiological threats or incidents (e.g., release
of mustard gas, anthrax, smallpox, or radioactive materials) 170

1

2

f.

1

2

1

2

155

b. Natural disasters (e.g., earthquakes or tornadoes)
c.

Hostages

158

162

d. Bomb threats or incidents

Suicide threats or incidents

166

169

g. Post-crisis reunification of students with their families

b. Lockdown*
c.

5.

157

During the 2021–22 school year, has your school drilled students on the use of the
following emergency procedures?

a. Evacuation*

4.

NO

1

a. Active shooter*

3.

YES

163

165

Shelter-in-place*

167

YES

NO

1

2

1

2

1

2

During the 2021–22 school year, does your school have a formal plan in place to prepare for
and respond to multi-country or worldwide pandemic diseases (such as the coronavirus
pandemic, COVID-19)? 800
1

Yes

2

No

BEFORE the coronavirus pandemic began in the 2019–20 school year, did your school have a
formal plan in place to prepare for and respond to multi-country or worldwide pandemic
diseases (such as SARS or H1N1)? 801
• Exclude plans only for community or school-based outbreaks (such as seasonal flu or
chicken pox).
1

Yes

2

No

3

Don't know

*A removable "definitions" sheet is printed on pages 2 and 3.

6

§,&#¤

FORM SSOCS-1
110502

6.

During the 2021–22 school year, do your school’s practices include any of the
following safety measures in response to COVID-19?
a. Required, regular symptom screening of students and staff
(e.g., temperature checks) 802
b. Use of personal protective equipment (PPE) for staff (e.g.,
masks, face shields) 803
c. Use of personal protective equipment (PPE) for students
(e.g., masks, face shields) 804
d. Increased sanitization of frequently touched surfaces

805

Use of physical measures to reduce viral transmission (e.g.,
e. dividers separating shared areas, mechanical ventilation system)
f. Social distancing of students (e.g., maintaining a distance of at
least 6 feet between students) 807
g. Reduction in the number of students in classrooms
(e.g., cohorting*, hybrid learning model*) 808
h. Suspension of student group activities (e.g., sports, band,
choir, extra-curricular groups) 809
i.

Reduction in the use of shared materials in the classroom

810

Reduction of self-serve food or drink options in communal
dining halls or cafeterias 811
k. Use of alternate spaces to reduce eating and drinking in
communal dining halls or cafeterias (e.g., having students eat at
desks in classrooms) 812
l. Increased handwashing and sanitizing accessibility (e.g.,
added sinks, handwashing stations, or hand sanitizer stations) 813
j.

m. Increased supports for social and emotional needs of students
and/or staff 814
n. Collection of information (e.g., student and staff contact
information, seating charts) to assist in contact tracing*
in the event of a positive COVID-19 case at school 815
o. Modified visitor and volunteer system

7.

816

806

YES

NO

1

2

1

2

1

2

1

2

1

2

1

2

1

2

1

2

1

2

1

2

1

2

1

2

1

2

1

2

1

2

During the 2021–22 school year, do your school’s emergency readiness practices (e.g., fire drills,
active shooter* drills) include modifications made in response to the Centers for Disease
Control and Prevention (CDC) safety guidelines for operating schools during COVID-19? 817
1

Yes

2

No ➔

GO TO item 9 on page 8.

*A removable "definitions" sheet is printed on pages 2 and 3.

§,&#¤

FORM SSOCS-1
110502

7

8.

Do your school’s modifications to emergency readiness practices include the following?

YES
a. Having staff talk through security drills rather than acting them out
b. Modifying security drills to accommodate social distancing
measures (e.g., conducting multiple drills with small groups,
increasing number of evacuation locations)

10.

1

2

1

2

1

2

819

c. Providing enhanced post-drill debriefings and student
supports for social-emotional needs or trauma*

9.

818

NO

820

Since the beginning of the COVID-19 pandemic, has a site assessment* been conducted to
evaluate your school’s preparedness to operate according to CDC safety guidelines for
operating schools during COVID-19 (e.g., ensuring there is adequate room to maintain 6-foot
distance between students, using appropriate air filtration systems)? 821
1

Yes

2

No

During the 2021–22 school year, did your school have any activities that included
the following components for students?

a. Prevention curriculum, instruction, or training for students (e.g.,
conflict resolution, anti-bullying*, dating violence* prevention) 174
b. Social and emotional learning (SEL) for students (e.g., social
skills, anger management, mindfulness) 183
c. Behavioral or behavior modification intervention for students
(including the use of positive reinforcements) 176
d. Individual mentoring, tutoring, or coaching of students by adults
e. Student involvement in peer mediation

181

175

f.

Student court to address student conduct problems or minor
offenses 177
g. Student involvement in restorative practices* (e.g., peace or
conflict circles) 179
h. Programs to promote a sense of community or social integration
among students 186

YES

NO

1

2

1

2

1

2

1

2

1

2

1

2

1

2

1

2

*A removable "definitions" sheet is printed on pages 2 and 3.
8

§,&#¤

FORM SSOCS-1
110502

11.

12.

During the 2021–22 school year, did your school have a threat assessment* team or any other
formal group of persons to identify students who might be a potential risk for violent or harmful
behavior (toward themselves or others)? 600
1

Yes

2

No

During the 2021–22 school year, did your school have any recognized student groups

YES

NO

a. Acceptance of sexual orientation* and gender identity* of students (e.g.,
Gay-Straight Alliance) 604

1

2

b. Acceptance of students with disabilities (e.g., Best Buddies) 606

1

2

1

2

c.

Acceptance of cultural or religious diversity (e.g., Cultural Awareness Club)

608

Parent and Community Involvement at School
13.

Which of the following does your school do to involve or help parents?

YES
a. Have a formal process to obtain parental input on policies related to school
crime and discipline 190
b. Provide training or technical assistance to parents in dealing with students’
problem behavior 192
14.

1

2

1

2

During the 2021–22 school year, were any of the following community and outside
groups involved in your school’s efforts to promote a safe school?

a. Parent groups

204

b. Social service agencies
c.

206

Juvenile justice agencies

208

d. Law enforcement agencies
e. Mental health agencies
f.

210

212

Civic organizations or service clubs

g. Private corporations or businesses
h. Religious organizations

214

216

218

NO

YES

NO

1

2

1

2

1

2

1

2

1

2

1

2

1

2

1

2

*A removable "definitions" sheet is printed on pages 2 and 3.
FORM SSOCS-1

§,%$¤

110601

9

School Security Staff
15.

During the 2021–22 school year, did you have any sworn law enforcement officers (including
School Resource Officers*) present at your school* at least once a week? 610
• Do not include security officers or other security personnel who are not sworn law enforcement
in response to items 9-15; information on additional security staff is gathered in item 16.

16.

1

Yes

2

No ➔

GO TO item 22 on page 12.

Were sworn law enforcement officers (including School Resource Officers*) used at least once
a week in or around your school at the following times?

YES
a. While students were arriving or leaving

614

b. At selected school activities (e.g., athletic and social events, open houses)
c.

17.

When school or school activities were not occurring

618

616

NO

1

2

1

2

1

2

Did any of the sworn law enforcement officers (including School Resource Officers*) at your
school* routinely:

YES
a. Carry physical restraints (e.g., handcuffs, Tasers)

621

b. Carry chemical aerosol sprays (e.g., Mace, pepper spray)
c.

Carry a firearm*

622

624

d. Wear a body camera

626

NO

1

2

1

2

1

2

1

2

*A removable "definitions" sheet is printed on pages 2 and 3.
10

§,%$¤

FORM SSOCS-1
110601

18.

Did these sworn law enforcement officers (including School Resource Officers*) participate in
the following activities at your school*?
YES
1

2

1

2

1

2

d. Identifying problems in the school and proactively seeking solutions
to those problems 636

1

2

e. Training teachers and staff in school safety or crime prevention

1

2

1

2

1

2

1

2

1

2

a. Motor vehicle traffic control

628

b. Security enforcement and patrol
c.

f.

Maintaining student discipline

Mentoring students

630

632

638

640

g. Teaching a law-related education course or training students
(e.g., drug-related education, criminal law, or crime prevention courses)
h. Recording or reporting discipline problems to school authorities
i.

19.

20.

NO

642

644

Providing information to school authorities about the legal definitions of
behavior for recording or reporting purposes (e.g., defining assault for
school authorities) 646

During the 2021–22 school year, did your school or school district have any formalized policies
or written documents (e.g., Memorandum of Understanding, Memorandum of Agreement) that
outlined the roles, responsibilities, and expectations of sworn law enforcement officers (including
School Resource Officers*) at school*? 650
1

Yes ➔

2

No ➔

GO TO item 20 below.
GO TO item 21 on page 12.

Did these formalized policies or written documents include language defining the role of sworn law
enforcement officers (including School Resource Officers*) at school* in the following areas?
DON’T
YES
NO KNOW
1

2

3

b. Use of physical restraints (e.g., handcuffs, Tasers) or chemical
aerosol sprays (e.g., Mace, pepper spray) 654

1

2

3

c.

1

2

3

1

2

3

1

2

3

a. Student discipline

Use of firearms*

652

656

d. Making arrests* on school grounds

658

e. Reporting of criminal offenses to a law enforcement agency

660

*A removable "definitions" sheet is printed on pages 2 and 3.
FORM SSOCS-1

§,(!¤

110700

11

21.

How many of the following were present at your school* at least once a week?
• If an officer works full-time across various schools in the district, please count this officer as
"Part-time" for your school.
• If none, please place an "X" in the None box.
Number
at your school*
a. School Resource Officers*
None
0
i. Full-time 236

ii. Part-time

0

238

b. Sworn law enforcement officers who are not School Resource Officers*
Full-time

240

0

ii. Part-time

242

0

i.

22.

Aside from sworn law enforcement officers (including School Resource Officers*), how many
additional security officers or security personnel were present at your school* at least once a week?
• If a security officer or other security personnel works full-time across various schools in the
district, please count this person as “Part-time” for your school.
Number
at your school*
Security officers or security personnel
None

a. Full-time

232

0

b. Part-time

234

0

School Mental Health Services
23.

During the 2021–22 school year, did your school provide diagnostic mental health assessments*
(e.g., psychological/psychiatric diagnostics assessments) to evaluate students for mental health
disorders*? 661
• Include only assessments conducted by a licensed mental health professional*.
• Include services that were provided at school* as well as services provided through a contract
the school has with an outside provider.
1

Yes

2

No ➔

GO TO item 25 on page 13.

*A removable "definitions" sheet is printed on pages 2 and 3.

12

§,)*¤

FORM SSOCS-1
110809

24. Were diagnostic mental health assessment* services provided to students from
your school in the following locations?

YES

a. At school*, by a school-employed or contracted mental health professional*

663

b. Outside of school, by a school-employed or contracted mental health
professional* 665

25.

NO

1

2

1

2

During the 2021–22 school year, did your school provide treatment* (e.g., psychotherapy, medication)
to students for mental health disorders*? 667
• Include only treatment* provided by a licensed mental health professional*.
• Include services that were provided at school* as well as services provided through a contract the
school has with an outside provider.
1

Yes

2

No ➔

GO TO item 27 below.

26. Were treatment* services provided to students from your school in the
following locations?

YES

a. At school*, by a school-employed or contracted mental health professional*

669

b. Outside of school, by a school-employed or contracted mental health
professional* 671

27.

NO

1

2

1

2

During the 2021–22 school year, to what extent did the following factors limit your school’s efforts
to provide mental health services to students?

• Check one response on each line.

Limits in
major way

Limits in
minor way

Does not
limit

a. Inadequate access to licensed mental health
professionals* 674

1

2

3

b. Inadequate funding

1

2

3

1

2

3

1

2

3

1

2

3

1

2

3

1

2

3

c.

676

Potential legal issues for school or district
(e.g., malpractice, insufficient supervision, confidentiality) 678

d. Concerns about reactions from parents

681

e. Lack of community support for providing mental
health services to students in your school 682
f.

Written or unwritten policies regarding the school’s
requirement to pay for the diagnostic mental health
assessment* or treatment* of students 684

g. Reluctance to label students with mental health
disorders* to avoid stigmatizing the child 686

*A removable "definitions" sheet is printed on pages 2 and 3.
FORM SSOCS-1

§,*)¤

110908

13

Staff Training and Practices
28.

During the 2021–22 school year, did your school or school district provide any of the following for
classroom teachers or aides?
YES
NO
1

2

1

2

Training in school-wide discipline policies and practices related to
cyberbullying* 265

1

2

d. Training in school-wide discipline policies and practices related to
bullying* other than cyberbullying* 267

1

2

e. Training in school-wide discipline policies and practices related to
alcohol and/or drug use 269

1

2

f.

1

2

1

2

1

2

a. Training in classroom management for teachers

266

b. Training in school-wide discipline policies and practices related to
violence* 268
c.

Training in safety procedures (e.g., how to handle emergencies)

270

g. Training in recognizing early warning signs of students likely to
exhibit violent behavior 272
h. Training in recognizing signs of self-harm or suicidal tendencies
i.

Training in intervention and referral strategies for students displaying signs
of mental health disorders* (e.g., depression, mood disorders, ADHD) 271

1

2

j.

Training in recognizing physical, social, and verbal bullying* behaviors

1

2

k.

Training in recognizing signs of students using/abusing alcohol and/or drugs

1

2

l.

Training in positive behavioral intervention strategies

1

2

1

2

m. Training in crisis prevention and intervention

29.

278

276

277

273

274

Aside from sworn law enforcement officers (including School Resource Officers*) or other
security officers or personnel who carry firearms, during the 2021–22 school year, were there any
staff at your school* who legally carried a firearm* on school property? 279
1

Yes

2

No

*A removable "definitions" sheet is printed on pages 2 and 3.

14

§,+(¤

FORM SSOCS-1
111007

Limitations on Crime Prevention
30.

To what extent do the following factors limit your school’s efforts to reduce or prevent crime?
• Check one response on each line.

Limits in
major way

Limits in
minor way

Does not
limit

a. Lack of or inadequate teacher training in
classroom management 280

1

2

3

b. Lack of or inadequate alternative placement or
programs for disruptive students 282

1

2

3

c.

1

2

3

1

2

3

1

2

3

1

2

3

1

2

3

1

2

3

1

2

3

Likelihood of complaints from parents

284

d. Lack of teacher support for school policies
e. Lack of parental support for school policies
f.

Teachers’ fear of student retaliation

g. Fear of litigation

FORM SSOCS-1

288

290

292

h. Inadequate funds
i.

286

294

Inconsistent application of school policies by
faculty or staff 296

§,$%¤

111106

15

Incidents
31. Please record the number of incidents that occurred at school* during the 2021–22 school year for
the offenses listed below. (NOTE: The number in column 1 should be greater than or equal to the
number in column 2.)
Please provide information on:
•
•
•
•

The number of incidents, not the number of victims or offenders.
Recorded incidents, regardless of whether any disciplinary action was taken.
Recorded incidents, regardless of whether students or non-students were involved.
Incidents occurring before, during, or after normal school hours.
Column 1
Total number
of recorded incidents

Column 2
Number reported to sworn
law enforcement
None

None

a. Rape* or attempted rape*

310

0

312

0

b. Sexual assault* other than rape*
(include threatened rape*)

314

0

316

0

Robbery* (taking things by force)
i. With a weapon*

318

0

320

0

ii. Without a weapon*

322

0

324

0

326

0

328

0

330

0

332

0

334

0

336

0

ii. Without a weapon*

338

0

340

0

Theft or larceny* (taking things worth
over $10 without personal confrontation)

342

0

344

0

g. Possession of a
firearm or explosive device*

346

0

348

0

h. Possession of a knife or
sharp object

350

0

352

0

Distribution, possession,
or use of illegal drugs

354

0

356

0

Inappropriate distribution, possession,
or use of prescription drugs

355

0

357

0

Distribution, possession, or use of
alcohol

358

0

360

0

Vandalism*

362

0

364

0

c.

d. Physical attack or fight*
i. With a weapon*
ii. Without a weapon*
e. Threats of physical attack*
i. With a weapon*

f.

i.
j.
k.

l.

*A removable "definitions" sheet is printed on pages 2 and 3.

16

§,-&¤

FORM SSOCS-1
111205

32.

During the 2021–22 school year, how many hate crimes* occurred at your school*?

690

Number of hate crimes*
0

33.

None ➔

GO TO item 34 below.

To the best of your knowledge, were any of these hate crimes* motivated by the offender’s bias
against the following characteristics or perceived characteristics?
• If a hate crime* was motivated by multiple characteristics, answer "Yes" for
each that applies.
YES
NO

a. Race

692

b. National origin or ethnicity
c.

Sex

694

696

d. Religion

698

e. Disability (e.g., physical, mental, and learning disabilities)
f.

Sexual orientation*

g. Gender identity*

700

702

704

1

2

1

2

1

2

1

2

1

2

1

2

1

2

34. To the best of your knowledge, during the 2021–22 school year, have there been any incidents of
sexual misconduct* between a staff member and a student at your school*? 705
• Report on misconduct between staff and students whether or not the incidents occurred at
school* or away from school.
• Sexual assault* and rape* are both forms of sexual misconduct. Therefore, some incidents of
staff-student behavior may be reported in response to items 25a and 25b as well as item 28.

35.

1

Yes

2

No

Please select the number of arrests*, including both students and non-students, that occurred at
your school* during the 2021–22 school year. 688
1

None

2

1-5

3

6 - 10

4

11 or more

*A removable "definitions" sheet is printed on pages 2 and 3.
FORM SSOCS-1

§,+(¤

111007

17

Disciplinary Problems and Actions
36.

To the best of your knowledge, how often do the following types of problems occur at your school*?

Happens
daily

Never
happens

1

2

3

4

5

1

2

3

4

5

1

2

3

4

5

d. Student harassment* of other students
based on sexual orientation* 381

1

2

3

4

5

e. Student harassment* of other students
based on gender identity* 383

1

2

3

4

5

1

2

3

4

5

g. Student harassment* of other students
based on disability (e.g. physical, mental
and learning disabilities) 387

1

2

3

4

5

h. Widespread disorder in classroom

1

2

3

4

5

1

2

3

4

5

a. Student racial or ethnic tensions
b. Student bullying*
c.

f.

37.

Happens at Happens at
least once least once Happens on
a week
a month
occasion

374

376

Student sexual harassment* of other
students 378

Student harassment* of other students
based on religion 385

382

i.

Student verbal abuse of teachers

j.

Student acts of disrespect for teachers
other than verbal abuse 384

1

2

3

4

5

k.

Gang* activities

1

2

3

4

5

386

380

To the best of your knowledge, thinking about problems that can occur anywhere (both at your
school* and away from school), how often does cyberbullying* among students who attend your
school occur? 389
1

Happens daily

2

Happens at least once a week

3

Happens at least once a month

4

Happens on occasion

5

Never happens

*A removable "definitions" sheet is printed on pages 2 and 3.

18

§,+(¤

FORM SSOCS-1
111006

38.

During the 2021–22 school year, did your school allow for the use of the following disciplinary
actions? If "Yes," were the actions used this school year?

Does your school
allow for use of
the following?
YES
a. Removal with no continuing school services
for at least the remainder of the school year

390

b. Removal with school-provided tutoring/home
instruction for at least the remainder of the
school year
c.

394

Transfer to an alternative school* for
disciplinary reasons

398

d. Transfer to another regular school for
disciplinary reasons

402

e. Out-of-school suspension or removal for less than
the remainder of the school year
i. With no curriculum or services provided

f.

406

ii. With curriculum or services provided

410

In-school suspension for less than the remainder
of the school year
i. With no curriculum or services provided

414

ii. With curriculum or services provided

418

g. Referral to a school counselor

422

h. Assignment to a program (during school hours)
designed to reduce disciplinary problems

426

i.

Assignment to a program (outside of school hours)
designed to reduce disciplinary problems

430

j.

Loss of school bus privileges due to misbehavior

434

k.

Corporal punishment

438

l.

Placement on school probation with
consequences if another incident occurs

442

m. Detention and/or Saturday school

446

n. Loss of student privileges

450

o. Requirement of participation in community service

454

If “Yes,” was the
action used this
school year?

NO

1

2

1

2

1

2

1

2

1

2

1

2

1

2

1

2

1

2

1

2

1

2

1

2

1

2

1

2

1

2

1

2

1

2

YES
392

396

400

404

408

412

416

420

424

428

432

436

440

444

448

452

456

NO

1

2

1

2

1

2

1

2

1

2

1

2

1

2

1

2

1

2

1

2

1

2

1

2

1

2

1

2

1

2

1

2

1

2

*A removable "definitions" sheet is printed on pages 2 and 3.
FORM SSOCS-1

§,-&¤

111205

19

39. During the 2021-22 school year, how many students were involved in committing the following
offenses, and how many of the following disciplinary actions were taken in response?
Please follow these guidelines when determining the number of offenses and disciplinary actions:
• If more than one student was involved in an incident, please count each student separately
when providing the number of disciplinary actions.
• If a student was disciplined more than once, please count each offense separately (e.g., a
student who was suspended five times would be counted as five suspensions).
• If a student was disciplined in two different ways for a single infraction (e.g., the student was
both suspended and referred to counseling), count only the most severe disciplinary action
that was taken.
• If a student was disciplined in one way for multiple infractions, record the disciplinary action for
only the most serious offense.

Number of disciplinary actions taken in response to offense
Total students
Removals with no
involved in
continuing school
recorded offenses
services for at
(regardless of
least the
disciplinary action) remainder of the
school year

a. Use/possession of a
firearm or explosive
device*
b. Use/possession of a
weapon* other than a
firearm or explosive
device*
c.

Distribution, possession,
or use of illegal drugs

458
0

0

40.

None

None

0

None

0

None

498

0

None

0

0

0

None

0

None

0

None

0

None

0

None

0

None

0

0

None

0

None

496

None

504

None

None

486

494

None

0

476

484

502

None

0

466

474

492

500

None

None

482

490

None

0

Other disciplinary
Out-of-school
action (e.g.,
suspensions
suspension for
lasting 5 or more
days, but less than less than 5 days,
detention, etc.)
the remainder of
the school year
464

472

480

488

0

0

462

470

478

0

e. Physical attacks or
fights*

None

468

0

d. Distribution, possession,
or use of alcohol

460

Transfers to
alternative
schools*

0

None

506

None

During the 2021–22 school year, how many of the following occurred?

0

None

Total number

a. Students were removed from your school without continuing services for at
least the remainder of the school year for disciplinary reasons. (NOTE: This
number should be greater than or equal to the sum of entries in item 33,
column 2.) 518

0

None

b. Students were transferred to alternative schools* for disciplinary reasons.
(NOTE: This number should be greater than or equal to the sum of entries
in item 33, column 3.) 520

0

None

*A removable "definitions" sheet is printed on pages 2 and 3.
20

§,.%¤

FORM SSOCS-1
111304

School Characteristics: 2021–22 School Year
41.

42.

Which of the following best describes your school?
1

Regular public school

2

Charter school

3

Has a magnet program for part of the school

4

Exclusively a magnet school

5

Other - Please specify:

564

565

Which of the following grades are offered in this school?
• Check all that apply.
1

Prekindergarten

1

Kindergarten

026

1

4th

034

1

5th

036

1

6th

038

7th

040

1

1st

1

2nd 030

1

3rd

1

1

43.

024

028

032

8th

042

1

9th

1

10th 046

1

11th 048

1

12th 050

1

Ungraded

044

052

Please provide the following dates:
a. Start date for your 2021–22 school year

/

574, 575

MM

b. End date for your 2021–22 school year

/ 2019
DD

/

576, 577

MM

/ 2020
DD

44.

As of October 1, 2021, what was your school’s total enrollment?

45.

During the 2021–22 school year, how many students transferred to or from your school after the
start of the school year? Please report on the total mobility, not just transfers due to disciplinary
actions. (NOTE: This number should be greater than or equal to the number of students who
were transferred for disciplinary reasons, as reported in item 40b.)

Students

522

If a student transferred more than once in the school year, count each transfer separately.
Number of Students

a. Transferred to the school

46.

0

570

b. Transferred from the school

0

572

What percentage of your school’s total enrollment is present on
an average day? 568

Percent of
students present

%
47.

How many classroom changes do most students make in a typical day?
• Count going to lunch and then returning to the same or a different
classroom as two classroom changes. Do not count morning arrival
or afternoon departure.

FORM SSOCS-1

None

§,/$¤

111403

538

Typical number
of
classroom changes

None
0

None
0

21

48.

Percent of
students

What percentage of your current students fit the following criteria?

a. Eligible for free or reduced-price lunch
b. English language learner (ELL)
c.

49.

526

Children with disabilities (CWD)*

d. Male

524

528

530

What is your best estimate of the percentage of your current students
who meet the following criteria?

a. Below the 15th percentile on standardized tests
b. Likely to go to college after high school
c.
50.

534

536

How would you describe the crime level in the area(s) in which your students live?

51.

1

High level of crime

2

Moderate level of crime

3

Low level of crime

4

Students come from areas with very different levels of crime

How would you describe the crime level in the area where your school is located?
1

High level of crime

2

Moderate level of crime

3

Low level of crime

%

0

%

0

%

0

%

0

Percent of
students

532

Consider academic achievement to be very important

None

None

%

0

%

0

%

0

560

562

Respondent Information
Please provide the following information for the person who completed this questionnaire. If more than
one person completed the questionnaire, please answer for the primary respondent.
Name of primary person completing form

010

Title or position 014
• Check one response.
1

Principal

6

Teacher or instructor

2

Vice principal

7

Superintendent or district staff

3

Disciplinarian

8

Security personnel

4

Counselor

9

Other - Please specify:

5

Administrative or secretarial staff

015

*A removable "definitions" sheet is printed on pages 2 and 3.
22

§,0#¤

FORM SSOCS-1

Number of years at this school

016

Years
Telephone number

012

Area Code

Number

E-mail address

074

Best days and times to reach you (in case we have further questions)
• Check all that apply.
• Check all that apply.
1

Monday

1

Tuesday

1

Wednesday

1

Thursday

1

Friday

054
056
058

060

062

1

7AM to 9AM

1

9AM to 11AM

066

1

11AM to 1PM

068

1

1PM to 3PM

070

1

3PM to 5PM

072

Did other school personnel help to complete the questionnaire?
1

Yes

2

No

064

076

If yes, please list the title(s) or position(s) of these staff.
• Check all that apply.
1

078

1

Teacher or instructor

1

Vice principal

1

Superintendent or district staff

1

Disciplinarian

1

Security personnel

1
1

Principal

Counselor

080
082

1

084

Administrative or secretarial staff

Date you completed the questionnaire

088
090

092

Other, Please specify:

094

096
086

/ 2022

/

578, 579

MM

DD

How long did it take you to complete this form, not counting interruptions?

580

• Please record the time in minutes (e.g., 55 minutes, 65 minutes).
minutes

FORM SSOCS-1

§,1"¤

23

Please return your completed questionnaire in the
enclosed postage-paid envelope or mail it to:
U.S. Census Bureau
Attn: DCB/PCSPU, Building 60A
1201 E 10th Street
Jeffersonville, IN 47132-0001
Thank you very much for your participation in
this survey. If you have any questions, please
contact us, toll-free, at: 1-888-595-1332 or by
e-mail at: SSOCS@census.gov
To learn more about this survey and to access reports
from earlier collections, see the School Survey on Crime
and Safety (SSOCS) website at:
http://nces.ed.gov/surveys/ssocs
Additional data collected by the National Center for
Education Statistics (NCES) on a variety of topics
in elementary, secondary, postsecondary, and
international education are available from the
NCES website at:
http://nces.ed.gov
For additional data collected by various Federal
agencies, including the Department of
Education, visit the Federal Statistics
clearinghouse at:
https://www.usa.gov/statistics

24

§,1"¤

FORM SSOCS-1
111601


File Typeapplication/pdf
AuthorTracae Mcclure (CENSUS/ADDP FED)
File Modified2021-01-27
File Created2019-03-13

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