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

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

Appendix B - SSOCS 2022 Questionnaire v22

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.22

Appendix B – 2022 Questionnaire

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

January 2021
revised February 2022

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.

Conducted by:

Collected by:

U.S. DEPARTMENT OF EDUCATION

U.S. DEPARTMENT OF COMMERCE

NATIONAL CENTER FOR EDUCATION STATISTICS

U.S. CENSUS BUREAU

FORM SSOCS-1
(11-12-2021)

§,"’¤

110106

DEFINITIONS
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.
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.
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.
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.
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.
Contact tracing – the process of notifying people
(contacts) of their potential exposure to an
infectious disease, providing information about the
virus, and discussing their symptom history and
other relevant health information.
Cyberbullying – bullying that occurs when willful
and repeated harm is inflicted through the use of
computers, cell phones, or other electronic devices.

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.
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.
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.
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.
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.
Gender identity – one’s inner sense of one’s own
gender, which may or may not match the sex
assigned at birth.
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 name-calling, 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.
Site assessments can be conducted internally or by
an external party, but should be structured, such as
by using checklists or applications to evaluate the
school setting.
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.
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.
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.
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
look-alikes 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 53 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

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

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

1

2

t.

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

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.

144

146

150

Require metal detector checks on students every day 116

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

Require students to wear badges or picture IDs

140

142

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

121

*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*

163

165

c. Shelter-in-place*

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

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.

At any time during the 2021–22 school year, did your school’s practices include the following?
YES
a. Required, regular symptom screening of students (e.g., temperature checks,
symptom checklists) 802
b. Required, regular symptom screening of staff (e.g., temperature checks,
symptom checklists) 803
c. Use of personal protective equipment (PPE) for students
(e.g., masks, face shields) 804
d. Use of personal protective equipment (PPE) for staff
(e.g., masks, face shields) 805
e. Increased sanitization of frequently touched surfaces

806

Use of new or improved physical measures to reduce viral transmission
(e.g., dividers separating shared areas, mechanical ventilation system) 807
g. Social distancing of students (e.g., spacing desks a set distance apart,
limiting student physical interactions with others) 808
Intentional
reduction of in-person class size
h.
(e.g., cohorting*, hybrid learning model*) 809
f.

i.

Suspension of all or most outdoor student group activities

j.

Suspension of all or most indoor student group activities

810

811

k. Reduction in the use of shared materials in the classroom

812

l.

Reduction of self-serve food or drink options in communal
dining halls or cafeterias 813
m. Use of alternate spaces to reduce eating and drinking in communal
dining halls or cafeterias (e.g., having students eat at desks in classrooms) 814
n. Increased handwashing and sanitizing accessibility (e.g., added sinks,
handwashing stations, or hand sanitizer stations) 815
o. Collection or tracking of information specifically to assist in contact tracing*
in the event of a positive coronavirus case at school* (e.g., sign-in sheets) 816
p. Modified visitor and volunteer system

817

q. Increased supports for social and emotional needs of students
r.

Increased supports for social and emotional needs of staff

819

818

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

1

2

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

§,’"¤

110601

7

7.

During the 2021–22 school year, were any of the following modifications made to your school’s
emergency readiness practices (e.g., fire drills, active shooter* drills) in response to the
Centers for Disease Control and Prevention (CDC) safety guidelines for operating schools during
the coronavirus pandemic?
YES
NO
a. Having staff talk through security drills rather than acting them out

820

b. Modifying security drills to accommodate social distancing measures
(e.g., conducting multiple drills with small groups, increasing number
of evacuation locations) 821
c. Providing increased student supports for social-emotional needs or trauma*
following security drills (e.g., enhanced post-drill briefings) 822
8.

9.

1

2

1

2

1

2

Since the beginning of the coronavirus pandemic, has a site assessment* been conducted to
evaluate your school’s preparedness to operate according to CDC safety guidelines for operating
schools during the coronavirus pandemic (e.g., ensuring adequate room to maintain social
distancing between students, using appropriate air filtration systems)? 823
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)
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

NO

1

2

1

2

1

2

1

2

1

2

1

2

1

2

1

2

174

d. Individual mentoring, tutoring, or coaching of students by adults
e. Student involvement in peer mediation

YES

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

181

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

8

§,’"¤

FORM SSOCS-1
110601

10.

11.

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
with the following purposes?

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)

1

2

1

2

606

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

608

Parent and Community Involvement at School
12.

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

13.

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

206

c. 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

§,(!¤

110700

9

School Security Staff
14.

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
•

15.

Do not include security officers or other security personnel who are not sworn law enforcement
in response to items 14-20; information on additional security staff is gathered in item 21.

1

Yes

2

No ➔

GO TO item 21 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. When school or school activities were not occurring

16.

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
110809

17.

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. Maintaining student discipline

f.

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.

18.

19.

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 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. Use of firearms*

1

2

3

1

2

3

1

2

3

a. Student discipline

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

§,*)¤

110908

11

20.

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*
i.

Full-time

236

ii. Part-time

238

None
0
0

b. Sworn law enforcement officers who are not School Resource Officers*
i.

21.

Full-time

240

0

ii. Part-time

242

0

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.
• If none, please place an "X" in the None box.
Number
at your school*
Security officers or security personnel

None

a. Full-time

232

0

b. Part-time

234

0

School Mental Health Services
22.

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 24 on page 13.

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

12

§,+(¤

FORM SSOCS-1
111007

23.

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

24.

2

1

2

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 26 below.

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

26.

1

During the 2021–22 school year, did your school provide treatment* (e.g., psychotherapy, medication)
to students for mental health disorders*? 667
•
•

25.

NO

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?
•

Limits in
major way

Check one response on each line.

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

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

1

2

3

d. Concerns about reactions from parents

1

2

3

1

2

3

1

2

3

1

2

3

676

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

§,,’¤

111106

13

Staff Training and Practices
27.

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

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

1

2

c. 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

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

278

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

1

2

1

2

1

2

273

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

Training in positive behavioral intervention strategies

m. Training in crisis prevention and intervention

28.

276

277

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
111205

Limitations on Crime Prevention
29.

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. Likelihood of complaints from parents

1

2

3

1

2

3

1

2

3

1

2

3

1

2

3

1

2

3

1

2

3

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

§,+(¤

111007

15

Incidents
30.

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.)
•

If none, please select the None box.

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

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

318

0

320

0

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

k. Distribution, possession, or use of
alcohol

358

0

360

0

l.

362

0

364

0

ii. Without a weapon*
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.

Vandalism*

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

16

§,,’¤

FORM SSOCS-1
111106

31.

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

690

If none, please place an "X" in the None box.
Number of hate crimes*

0

32.

None ➔

GO TO item 33 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*

33.

34.

700

702

704

1

2

1

2

1

2

1

2

1

2

1

2

1

2

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 30a and 30b as well as item 33.
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

§,-&¤

111205

17

Disciplinary Problems and Actions
35.

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

c. Student sexual harassment* of other
students 378

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

1

2

3

4

5

1

2

3

4

5

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

f.

374

376

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

k. Gang* activities

36.

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

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
111304

37.

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

390

394

c. 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.

j.

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

430

Loss of school bus privileges due to misbehavior

434

k. Corporal punishment
l.

438

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

§,/$¤

111403

19

38.

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.
• If none, please place an "X" in the None box.
Number of disciplinary actions taken in response to offense
Transfers to
alternative
schools*

Removals with no
Total students
continuing school
involved in
services for at
recorded offenses
least the
(regardless of
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

39.

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

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

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

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 38,
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 38, column 3.) 520

0

None

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

20

§,0#¤

FORM SSOCS-1
111502

School Characteristics: 2021–22 School Year
40.

41.

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:

565

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

Prekindergarten

1

Kindergarten

024

026

1

4th

034

1

5th

036

1

6th

038

2nd 030

1

7th

040

3rd

1

1

1st

1
1

42.

564

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

/ 2021
DD

/

576, 577

MM

/ 2022
DD

Students

43.

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

44.

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.
• If a student transferred more than once in the school year, count each transfer separately.
• If none, please place an "X" in the None box.

522

Number of Students

a. Transferred to the school

0

570

b. Transferred from the school

None

572

0

(NOTE: This number should be greater than or equal to the number of students
who were transferred for disciplinary reasons, as reported in item 39b.)

45.

46.

What percentage of your school’s total enrollment is present on
an average day? 568
• If none, please place an "X" in the None box.
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.
• If none, please place an "X" in the None box.

FORM SSOCS-1

§,1"¤

111601

Percent of
students present

%
538

Typical number
of
classroom changes

None
0

None
0

21

47.

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)

526

c. Children with disabilities (CWD)*
d. Male
48.

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

49.

534

536

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

50.

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

c. 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

§,2!¤

FORM SSOCS-1
111700

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

Principal

1

Vice principal

1

Disciplinarian

1

Counselor

1

078
080
082

Teacher or instructor

1

Superintendent or district staff

1

Security personnel

1

084

Administrative or secretarial staff

Date you completed the questionnaire

1

088
090

092

Other, Please specify: 094
096

086

/

578, 579

MM

/ 2022
DD

How long did it take you to complete this form, not counting interruptions?
• Please record the time in minutes (e.g., 55 minutes, 65 minutes).

580

minutes

FORM SSOCS-1

§,3*¤

111809

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

§,4)¤

FORM SSOCS-1
111908


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File Created2021-11-15

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