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Posted by hopeless_addict on 2006.01.25 at 21:28
Section 1
For section 1, please read each statement and fill in the space for the letter corresponding with your answer. Please choose only one letter for each statement.

A. Strongly Agree B. Agree C. Disagree D. Strongly Disagree


1. In my school, teachers expect students to respect one another.
2. In my school, teachers really care about the students, all the students.
3. In my school, students feel safe.
4. My school is safe for guys who aren’t as “masculine” as other guys.
5. My school is safe for girls who aren’t as “feminine” as other girls.
6. My school is safe for students who are lesbian, gay, bisexual, transgender, queer or questioning (LGBTQ).
7. My school is safe for students with LGBTQ parents.
8. My school is safe for teachers and staff who are LGBTQ.
9. I feel safe at my school.

Section 2
Please answer A. Yes or B. No for the following questions:


10. Does your school have a harassment policy that specifically includes sexual orientation and/or race and ethnicity?
11. If you wanted information and support from your school about sexual orientation, gender identity, or LGBTQ issues, would you know where to go?
12. Before taking this survey, were you aware that your school had a GSA?
13. California state law protects students from discrimination based on sexual orientation and gender identity in school. Do you know about this law?

Section 3
For section 2, please read each question and fill in the space for the letter corresponding with your answer. Please choose only one letter for each question.


A. Often B. Sometimes C. Rarely D. Never


14. How often do you hear other students make negative comments or gestures based on sex (being male or female)?
15. How often do you hear other students make negative comments or gestures based on sexual orientation (being gay, lesbian, bisexual, or queer)?
16. How often do you hear other students make negative comments or gestures based on gender identity or _expression (not being “masculine” enough, not being “feminine” enough)?
17. How often do you hear teachers or school staff make negative comments or gestures based on sex (being male or female)?
18. How often do you hear teachers or school staff make negative comments or gestures based on sexual orientation (being gay, lesbian, bisexual, or queer)?
19. How often do you hear teachers or school staff make negative comments or gestures based on gender identity or _expression (not being “masculine” enough, not being “feminine” enough)?
20. How often do you hear teachers or staff stop others from making negative comments or using slurs based on sex (being male or female)?
21. How often do you hear teachers or staff stop others from making negative comments or using slurs based on sexual orientation (being gay, lesbian, bisexual, or queer)?
22. How often do you hear teachers or staff stop others from making negative comments or using slurs based on gender identity or _expression (not being “masculine” enough, not being “feminine” enough)?

Section 4
For section 3, please fill in the space for the letter corresponding with your answer. Please choose only one letter for each statement based on your own personal expierences.

A. 0 times B. 1 time C. 2-3 times D. 4 or more times


During the past 12 months, how many times on school property have you...

23. ...been pushed, shoved, slapped, hit, or kicked by someone based on real or perceived sexual identity? (i.e. because “you’re gay”, whether you really are or not)
24. ...been threatened or injured with a weapon, such as a gun or a knife based on real or perceived sexual identity?
25. ...been afraid of being physically harmed based on real or perceived sexual identity?
26. ...had mean rumors or lies spread about your real or perceived sexual identity?
27. ...had sexual jokes, comments, or gestures made to you?
28. ...been made fun of because of your looks or the way you talk?
29. ...had your property stolen or deliberately damaged, such as your car, clothing, or books?

During the past 12 months, how many times on school property were you harassed or bullied for any of the following reasons?


30. ...your sex (being male or female)?
31. ...because you are gay, lesbian, bisexual, or someone thought you were?
32. ...because you aren’t as “masculine” as other guys or as “feminine” as other girls?

Comments:


anna banana
spiffyellofruit at 2006-01-26 05:24 (UTC) (Link)
looks good to me
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