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Exit Survey
 
 
1. Hello Maine West Middle School Student!

My name is Dhara Amin and I want to invite you to participate in this survey. The survey will ask you some questions about school, your family, what you do in your free time, and the police. It will take about 10 minutes to finish.

Your participation is not required by the school or your teachers. Your participation will not hurt or help your grades and other school activities. You will be helping me gain important information. I am not going to ask for your name so no one will know what answers you pick.

If at any time you are uncomfortable with the questions and do not want to continue taking the survey, you can stop at anytime.

Thank you very much for your time! Please start with the survey now by clicking on the Continue button below.
 
 
 
 
2. I am a:
 
Boy
 
Girl
 
Other
 
 
 
 
3. I am:
 
11 years old
 
12 years old
 
13 years old
 
14 years old
 
Other
 
 
 
 
4. I am in:
 
6th grade
 
7th grade
 
8th grade
 
 
 
5. I am:
 
American Indian or Alaska Native
 
Asian
 
Black or African American
 
Native Hawaiian or Other Pacific Islander
 
White
 
Other
 
 
 
 
6. I am:
 
Hispanic or Latino
 
Not Hispanic or Latino
 
 
 
7. On average, how often do you feel like your assigned schoolwork is meaningful?
 
Never
 
Not Often
 
Neutral
 
Often
 
Always
 
 
 
8. On average, how interesting are your classes?
 
Never
 
Not Often
 
Neutral
 
Often
 
Always
 
 
 
9. On average, how important do you think the things you are learning in school now are going to be when you are older?
 
Never
 
Not Often
 
Neutral
 
Often
 
Always
 
 
 
10. Thinking back over the past year in school, how often did you enjoy being in school?
 
Never
 
Not Often
 
Neutral
 
Often
 
Always
 
 
 
11. Thinking back over the past year in school, how often did you hate being in school?
 
Never
 
Not Often
 
Neutral
 
Often
 
Always
 
 
 
12. Thinking back over the past year in school, how often did you try to do your best work in school?
 
Never
 
Not Often
 
Neutral
 
Often
 
Always
 
 
 
13. Do you feel very close to your mother?
 
NO!
 
no
 
yes
 
YES!
 
Does not apply to me
 
 
 
14. Do you share your thoughts and feelings with your mother?
 
NO!
 
no
 
yes
 
YES!
 
Does not apply to me
 
 
 
15. Do you enjoy spending time with your mother?
 
NO!
 
no
 
yes
 
YES!
 
Does not apply to me
 
 
 
16. Do you feel very close to your father?
 
NO!
 
no
 
yes
 
YES!
 
Does not apply to me
 
 
 
17. Do you share your thoughts and feelings with your father?
 
NO!
 
no
 
yes
 
YES!
 
Does not apply to me
 
 
 
18. Do you enjoy spending time with your father?
 
NO!
 
no
 
yes
 
YES!
 
Does not apply to me
 
 
 
19. If I had a personal problem I can ask my parent(s) for help.
 
NO!
 
no
 
yes
 
YES!
 
Does not apply to me
 
 
 
20. My parent(s) give me lots of chances to do fun things together.
 
NO!
 
no
 
yes
 
YES!
 
Does not apply to me
 
 
 
21. My parent(s) ask me what I think before making most family decisions that will affect me.
 
NO!
 
no
 
yes
 
YES!
 
Does not apply to me
 
 
 
22. I like to see how much I can get away with.
 
Very False
 
False
 
True
 
Very True
 
 
 
23. I ignore the rules that get in my way.
 
Very False
 
False
 
True
 
Very True
 
 
 
24. I go against what people tell me to do just to make them mad.
 
Very False
 
False
 
True
 
Very True
 
 
 
25. How many times have you done what feels good no matter what?
 
Never
 
I've done it, but not in the past year
 
Less than once a month
 
About once a month
 
2 or 3 times a month
 
Once a week or more
 
 
 
26. How many times have you done something "dangerous" because someone dared you to do it?
 
Never
 
I've done it, but not in the past year
 
Less than once a month
 
About once a month
 
2 or 3 times a month
 
Once a week or more
 
 
 
27. How many times have you done something "crazy" even if it was a little dangerous?
 
Never
 
I've done it, but not in the past year
 
Less than once a month
 
About once a month
 
2 or 3 times a month
 
Once a week or more
 
 
 
28. I respect police officers.
 
Very False
 
False
 
True
 
Very True
 
 
 
29. I trust police officers to do what is right.
 
Very False
 
False
 
True
 
Very True
 
 
 
30. Police officers are honest.
 
Very False
 
False
 
True
 
Very True
 
 
 
31. If I had a problem and needed help from the police, the police would listen to me.
 
Very False
 
False
 
True
 
Very True
 
 
 
32. The police take the problems/concerns of people like me seriously.
 
Very False
 
False
 
True
 
Very True
 
 
 
33. If you had to report a problem to the police, how do you think they would treat you?