EVI EDSCLC Parents

	Male	Female
Are you male or female? (* must be filled in)

	Hispanic	Not Hispanic
Are you of Hispanic or Latino origin?(* must be filled in)

	White	Black or African-American	Asian American	Indian or Alaska Native	Native Hawaiian or Pacific Islander
What is your race?(* must be filled in)

	Strongly Agree	Agree	Disagree	Strongly Disagree	Don’t Know
This school provides instructional materials (e.g., textbooks, handouts) that reflect students’ cultural background, ethnicity, and identity.(* must be filled in)
This school communicates how important it is to respect the practices of all cultures.(* must be filled in)
This school encourages students to take challenging classes no matter their race, ethnicity, nationality, and/or cultural background (e.g., honor level courses, gifted courses, AP or IB courses).(* must be filled in)
This school communicates how important it is to respect students of all sexual orientations.(* must be filled in)
This school helps me figure out what social and emotional skills my child needs to develop (e.g., self-control, problem solving, or getting along with others).(* must be filled in)
At this school, my child feels he/she belongs.(* must be filled in)
I feel welcome at this school.(* must be filled in)
This school encourages me to be an active partner in educating my child.(* must be filled in)
I feel comfortable talking to someone at this school about my child's behavior.(* must be filled in)
This school has quality programs for my child's talents, gifts, or special needs.(* must be filled in)
	Strongly Agree	Agree	Disagree	Strongly Disagree	Don’t Know
This school promptly responds to my phone calls, messages, or e-mails.(* must be filled in)
At this school, the staff really cares about my child.(* must be filled in)
This school is a friendly place overall.(* must be filled in)
Staff at this school care about what families think.(* must be filled in)
My child is safe at this school.(* must be filled in)
Racial/ethnic conflict among students is a problem at this school.(* must be filled in)
Physical fighting between students is a problem at this school.(* must be filled in)
Bullying of students at school or school activities is a problem at this school.(* must be filled in)
Bullying of students via electronic means or devices is a problem at this school (cyberbullying).(* must be filled in)

	Not a Problem	Small Problem	Somewhat a Problem	Large Problem
At this school, how much of a problem is student drug use?(* must be filled in)
At this school, how much of a problem is student use of electronic cigarettes? (* must be filled in)
At this school, how much of a problem is student use of tobacco (e.g., cigarettes, chew, cigars)? (* must be filled in)
At this school, how much of a problem is student alcohol use?(* must be filled in)

	Strongly Agree	Agree	Disagree	Strongly Disagree	Don't Know
This school notifies parents or guardians effectively in the case of a school-wide emergency.(* must be filled in)
This school takes effective measures to ensure the safety of students.(* must be filled in)
This school has made it clear to my child what he/she should do if there is an emergency, natural disaster (tornado, flood) or a dangerous situation (e.g. violent person on campus) during the school day.(* must be filled in)
This school looks clean and pleasant.(* must be filled in)
The school building is clean and well-maintained.(* must be filled in)
Attending school every day is important for my child to do well in his/her classes.(* must be filled in)
This school has high expectations for students.(* must be filled in)
This school sees me as a partner in my child's education.(* must be filled in)
My child's teachers make themselves available to me.(* must be filled in)
The programs and resources at this school are adequate to support students with special needs or disabilities.(* must be filled in)
	Strongly Agree	Agree	Disagree	Strongly Disagree	Don't Know
Students have enough healthy food choices at this school.(* must be filled in)
This school provides high quality services to help students with social or emotional needs.(* must be filled in)
This school has enough programs that develop students’ social and emotional skills (e.g., self-control, problem solving, or getting along with others).(* must be filled in)
When my child does something good at school, I usually hear about it from the school.(* must be filled in)
This school communicates school policies and procedures clearly to parents or guardians.(* must be filled in)
School rules are applied equally to all students.(* must be filled in)
Discipline is fair. (* must be filled in)