School Sexual Health and Safety Survey
Please share your experience so the school can better understand student safety, support, and health education needs.
Student Background
Grade Level
*
Please Select
Elementary
Middle School
High School
Other
Participation Context
Safety and Wellbeing Survey
How safe do you feel at school overall?
*
Very unsafe
1
2
3
4
Very safe
5
1 is Very unsafe, 5 is Very safe
Do you know how and where to report a safety concern?
*
Yes
Not sure
No
Which concerns or support needs apply to you?
Bullying
Harassment
Unwanted comments or attention
Feeling unsafe in certain areas
Need to talk to a trusted adult
Need help reporting a concern
Other
How well do you understand healthy boundaries and respectful behavior?
*
Very well
Somewhat well
Not very well
Not at all
How would you rate school staff responsiveness when students raise concerns?
*
Very poor
1
2
3
4
Excellent
5
1 is Very poor, 5 is Excellent
Additional Comments and Submission
Additional comments or suggestions
Consent to submit this survey
*
I confirm my responses are accurate to the best of my knowledge
I understand this survey is anonymous or confidential as described
I agree to submit my responses
Submission note: Please review your responses before submitting. Your feedback helps improve student safety and wellbeing.
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