d. Alcohol? 1 2
e. Drugs? 1 2
f. Tobacco? 1 2
8. During the 1996-97 school year, are students at your school required to wear school uniforms?
Yes…… 1 In what school year were uniforms first required? 19__ – 19__ school year
No…… 2
9. During the 1996-97 school year, what percentage of your students are eligible for the federally funded free or reduced-price lunch program? ______%
10. During the 1996-97 school year, how many formal (planned and organized) programs or efforts did your school have that were intended to prevent or reduce school violence? (These programs or efforts can include instruction, other services to students, or changes to classroom and school management, and can take place either during school hours or after school hours.)
Number of one-day, one-time programs _________
Number of ongoing programs (more than one day) _________
(If your school has no programs, enter “0’s” and go to question 15.)
11. Were the incidents of crimes and offenses reported in question 2 used to modify these programs or to introduce new programs? Yes….. 1 No…… 2 No incidents reported in question 2….. 3
12. During the 1996-97 school year, did any of your formal programs or efforts intended to prevent or reduce school violence include the following?
Yes No
a. Prevention curriculum, instruction, or training for students (e.g., social skills training) 1 2
b. Behavioral programming or behavior modification for students 1 2
c. Counseling, social work, psychological, or therapeutic activity for students 1 2
d. Other activities involving individual attention for students (e.g., tutoring, mentoring) 1 2
e. Recreational, enrichment, or leisure activities for students 1 2
f. Student involvement in resolving student conduct problems (e.g., dispute or conflict resolution or mediation, student court) 1 2
g. Training, supervision, or technical assistance in classroom management for teachers 1 2
h. Review, revision, or monitoring of school wide discipline practices and procedures 1 2
i. Community or parent involvement in school violence prevention programs or efforts 1 2
j. Reorganization of school, grades, or schedules (e.g., school within a school, “houses” or “teams” of students) 1 2
13. During the 1996-97 school year, about how many students in your school participated in (or will participate in) programs or efforts that directly serve students and were intended to prevent or reduce school violence?
(Circle one)
All or almost all (91-100%) 1
Most (61-90%) 2
About half (41-60%) 3
Some (11-40%) 4
Few (1-10%) 5
None 6
14. During the 1996-97 school year, about how many teachers and staff in your school were substantially involved in any of the programs or efforts that were intended to prevent or reduce school violence?
(Circle one)
All or almost all (91-100%) 1
Most (61-90%) 2
About half (41-60%) 3
Some (11-40%) 4
Few (1-10%) 5
None 6
15. During the 1996-97 school year (including or in addition to those programs reported in question 10), did your school provide or sponsor any afterschool programs? Yes….. 1 No…… 2
16. The U.S. Department of Education may want to ask some of the schools responding to this survey to participate in a followup study on school safety at a later time. Like this survey, the followup study will be voluntary, and no data will be released with identifying information. Does the U.S. Department of Education have your permission to consider your school for a followup study? (Approximately 1 in 6 schools will be selected.) Yes….. 1 No…… 2
Bibliography
Sources
http://www.uncg.edu/edu/ericcass/violence/docs/victim.htm October 1995 Refer to publication number: NCES 95-204
http://nces.ed.gov/pubs98/violence/98030017.html
STOPPING SCHOOL VIOLENCE[ONLINE]. AVAILABLE:.
http://eric-web.tc.columbia.edu/digests/dig115.html