Student Relationship Impact Survey
Help us understand how your relationships with peers influence your academic and personal life.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Grade Level
*
Please Select
Freshman
Sophomore
Junior
Senior
Graduate
What types of relationships do you have with other students? (Select all that apply)
*
Close friends
Study partners
Roommates
Classmates
Club/organization members
Other
How frequently do you interact with your peers?
*
Daily
Several times a week
Weekly
Monthly
Rarely
Please rate your agreement with the following statements about your relationships with other students.
*
Rows
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
I feel supported by my peers.
1
2
3
4
5
My relationships help me succeed academically.
6
7
8
9
10
Peer relationships positively impact my well-being.
11
12
13
14
15
I can rely on my friends for advice.
16
17
18
19
20
I feel included in student groups.
21
22
23
24
25
How would you rate the overall quality of your relationships with other students?
*
1
2
3
4
5
Have your relationships with peers ever negatively affected your academic performance?
*
Yes
No
Not sure
What do you find most challenging about maintaining positive relationships with other students?
Please share any suggestions on how the school could better support student relationships.
Would you be willing to participate in a follow-up discussion or focus group about student relationships?
Yes
No
Maybe
Submit Survey
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