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Individual Identification (Optional - Will be used only by data collection organization to clarify responses, when essential):Name of Respondent (Optional): E-mail of Respondent (Optional): If you would like to have your name added to a FREE periodic newsletter that addresses topics related to school safety and security, indicate... YES, otherwise select... NO (I understand that I may discontinue this subscription at any time).
Organization:Identification of Facility: (State - XX): (City or Jurisdiction): (Name of School):
Respondent Demographic (Select ONE): Parent Organization Official School Board Office Superintendent School Principal Other Administrator Security Officer Lead Teacher Teacher Custodian/Engineering Transportation/Bus Driver Student Organization Official Union Representative (if appropriate) Neighbor (an informed individual residing or working adjacent this school facility) Other:
1. Illegal entry into school facilities NEVER occurs.DISAGREE 0 - 1 - 2 -- 3 - 4 - 5 - 6 -- 7 - 8 - 9 AGREENo Response Comments:
2. Entry into/onto school facilities is always within policy/legal guidelines.DISAGREE 0 - 1 - 2 -- 3 - 4 - 5 -- 6 - 7 - 8 - 9 AGREENo Response Comments:
3. A notification (prank or real) of a potentially hazardous condition has NEVER occurred at this facility.DISAGREE 0 - 1 - 2 -- 3 - 4 - 5 - 6 -- 7 - 8 - 9 AGREENo Response Expanded Meaning Comments:
4. A harmful device (explosive or otherwise) has NEVER been found at this facility.DISAGREE 0 - 1 - 2 -- 3 - 4 - 5 - 6 -- 7 - 8 - 9 AGREENo Response Comments:
5. The use of frightening intimidation has NEVER been used openly at this facility. DISAGREE 0 - 1 - 2 -- 3 - 4 - 5 - 6 -- 7 - 8 - 9 AGREENo Response Comments:
6. Membership in any socially dysfunctional organization (i.e. gang) is NEVER an issue with regard to maintining order on shcool grounds.DISAGREE 0 - 1 - 2 -- 3 - 4 - 5 - 6 -- 7 - 8 - 9 AGREENo Response Comments:
7. Guidelines are distributed that allow the recognition of gang activity at the school and in the vicinity of the school.DISAGREE 0 - 1 - 2 -- 3 - 4 - 5 - 6 -- 7 - 8 - 9 AGREENo Response Comments:
8. The population that uses this facility is racially diverse and WITHOUT adverse incident based on that diversity.DISAGREE 0 - 1 - 2 -- 3 - 4 - 5 - 6 -- 7 - 8 - 9 AGREENo Response Comments:
9. Diversity, in all dimensions (racial, ethnic, religious, economic, etc.) is prized at this facility.DISAGREE 0 - 1 - 2 -- 3 - 4 - 5 - 6 -- 7 - 8 - 9 AGREENo Response Comments:
10. People at this facility report to their assignments on time. DISAGREE 0 - 1 - 2 -- 3 - 4 - 5 - 6 -- 7 - 8 - 9 AGREENo Response Comments:
11. With the exception of legitimate absence, people attend their assignments as scheduled.DISAGREE 0 - 1 - 2 -- 3 - 4 - 5 - 6 -- 7 - 8 - 9 AGREENo Response Comments:
12. Students DO NOT use alcohol during non-school hours. DISAGREE 0 - 1 - 2 -- 3 - 4 - 5 - 6 -- 7 - 8 - 9 AGREENo Response Comments:
13. Use of alcohol during non-school hours NEVER interferes with assignments. DISAGREE 0 - 1 - 2 -- 3 - 4 - 5 - 6 -- 7 - 8 - 9 AGREENo Response Comments:
14. Consumption of alcohol during school hours is NOT done. DISAGREE 0 - 1 - 2 -- 3 - 4 - 5 - 6 -- 7 - 8 - 9 AGREENo Response Comments:
15. Use of illegal drugs during off-school hours is NOT an issue. DISAGREE 0 - 1 - 2 -- 3 - 4 - 5 - 6 -- 7 - 8 - 9 AGREENo Response Comments:
16. Use of illegal drugs during school hours is NOT done.DISAGREE 0 - 1 - 2 -- 3 - 4 - 5 - 6 -- 7 - 8 - 9 AGREENo Response Comments:
17. Sexual assault does NOT occur at or in the immediate vicinity of this facility.DISAGREE 0 - 1 - 2 -- 3 - 4 - 5 - 6 -- 7 - 8 - 9 AGREENo Response Comments:
18. Sexual harassment does NOT occur at or in this facility. DISAGREE 0 - 1 - 2 -- 3 - 4 - 5 - 6 -- 7 - 8 - 9 AGREENo Response Comments:
19. Teachers, with the exception of approved occurrences, attend to assigned responsibilities on schedule.DISAGREE 0 - 1 - 2 -- 3 - 4 - 5 - 6 -- 7 - 8 - 9 AGREENo Response Comments:
20. School property is NOT removed (stolen) from its assigned location without authorization. DISAGREE 0 - 1 - 2 -- 3 - 4 - 5 - 6 -- 7 - 8 - 9 AGREENo Response Comments:
21. The theft of personal property from those in this facility NEVER occurs. DISAGREE 0 - 1 - 2 -- 3 - 4 - 5 - 6 -- 7 - 8 - 9 AGREENo Response Comments:
22. Individuals DO NOT enter these premises without proper authority. DISAGREE 0 - 1 - 2 -- 3 - 4 - 5 - 6 -- 7 - 8 - 9 AGREENo Response Comments:
23. Inappropriate or illegal acts of vandalism DO NOT happen at this facility. DISAGREE 0 - 1 - 2 -- 3 - 4 - 5 - 6 -- 7 - 8 - 9 AGREENo Response Comments:
24. A reliable mechanism is in place to initiate reports of any irregularity to the appropriate authority.DISAGREE 0 - 1 - 2 -- 3 - 4 - 5 - 6 -- 7 - 8 - 9 AGREENo Response Comments:
25. Those having responsibilities in conjunction with reporting or acting on described irregularities are trained and qualified to do so. DISAGREE 0 - 1 - 2 -- 3 - 4 - 5 - 6 -- 7 - 8 - 9 AGREENo Response Comments:
Comments:
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