This free high school dropout questionnaire can be used in your surveys to help collect demographic information, as well as understand the reasons for high school student dropouts. The survey questions in this sample survey template are designed to draw conclusions about the dropout rate and the reasons that cause it. You can use this survey to monitor trends of students giving up high school and mitigate the reasons that cause them. Use this dropout prevention survey template to collect in-depth data and identify the factors that will help keep students in school.
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What is your gender? What is your age? What is the highest grade level you have completed? Please specify your race Please specify your ethnicity Please mention the reason that caused you to drop out of school: Please state your agreement with the following statements: What was the most difficult part of high school for you? Did you participate in any extra curricular activities or after school programs, clubs, etc? What was your current GPA when you dropped out? What is the marital status of your parents/guardians? If you were employed during high school, how many hours a week did you work? |
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