Student  Survey
On behalf of the Clarksville Montgomery County School System we would like to request you spend just a few minutes completing this survey. Please know your responses will be kept completely confidential. No one outside of the district level data team will have access to your responses with your name attached.

This survey was originally created by Mrs. Duana C. Hall to collect data for her research as part of the requirements for her doctoral degree. Your confidential responses will be used to help guide district work and within Mrs. Hall's research.

Thank you again for your participation.

Sign in to Google to save your progress. Learn more
Your first name? *
Your last name? *
What school do you attend? *
Do you have a parent or guardian who was in the military last school year and/or this school year?
Clear selection
Do you have a parent or guardian who was deployed in the military last school year and/or this school year?
Clear selection
If you answered yes to the last question, approximately how many months was your parent/guardian deployed last school year?
Did you have a parent or guardian who is military deployed this school year?  
Clear selection
If you answered yes to the last question, approximately how many months has your parent/guardian been deployed this school year?
To what extent do the sentences below describe you?  Check one answer for each statement.
I have people I look up to.
Clear selection
Getting an education is important to me.
Clear selection
My parents(s)/guardian(s) know a lot about me.
Clear selection
I try to finish what I start.
Clear selection
I am able to solve problems without harming myself or other (for example by using drugs and/or being violent.)
Clear selection
I know where to go in my community to get help.
Clear selection
I feel like I belong at my school.
Clear selection
My family stands by me during difficult times.
Clear selection
My friends stand by me during difficult times.
Clear selection
I am treated fairly in my community.
Clear selection
I have opportunities to develop skills that will be useful later in life (like job skills and skills to care for others.
Clear selection
I enjoy my communities’ traditions.
Clear selection
I tend to bounce back quickly after hard times.
Clear selection
I have a hard time making it through stressful events.
Clear selection
It does not take me long to recover from a stressful event.
Clear selection
It is hard for me to snap back when something bad happens.
Clear selection
I usually come through difficult times with little trouble.
Clear selection
I tend to take a long time to get over set-backs in my life.
Clear selection
I usually manage one way or another.
Clear selection
I feel proud that I have accomplished things in life.
Clear selection
I usually take things in stride.
Clear selection
I am friends with myself.
Clear selection
I feel that I can handle many things at one time.
Clear selection
I am determined.
Clear selection
I can get through difficult times because I have experienced difficulty before.
Clear selection
I have self-discipline.
Clear selection
I keep interested in things.
Clear selection
I can usually find something to laugh about.
Clear selection
My belief in myself gets me through hard times.
Clear selection
In an emergency, I am someone people can generally rely on.
Clear selection
My life has meaning.
Clear selection
When I am in a difficult situation, I can usually find my way out of it.
Clear selection
My parent/guardian shows me he/she is proud of me.
Clear selection
My parent/guardian takes an interest in my activities.
Clear selection
My parent/guardian listens to me when I talk to him/her.
Clear selection
I can count of on my parent/guardian to be there when I need him/her.
Clear selection
My parent/guardian and I talk about the things that really matter.
Clear selection
I am comfortable sharing my thoughts and feelings with my parent/guardian. *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms