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Appendix 2: Sample student survey

The following is an example of a survey you can use to determine the needs of your students and decide on the appropriate response needed – amend as needed for your school!

About you and your school

Question 1: Please CIRCLE the 3 things you like most about our school

Reading Writing Maths Art
Music Sport My friends My teacher
The playground Computers Dancing Learning my culture
I don’t like anything about school Other (please write):

Question 2: Please CIRCLE 3 things you think our school needs most to be even better

A sunshade More library books Exercise equipment More computers
Musical instruments A school garden More sports gear Food for kids
Play equipment Other (please write):

Question 3: Do you have the things you need? Circle YES, NO or SOMETIMES

Do you have … Breakfast before school? Yes No Sometimes
Do you have … Food for lunch at school? Yes No Sometimes
Do you have … Money for school trips or special school events? Yes No Sometimes
Do you have … Medicine when you are sick? Yes No Sometimes
Do you have … A jacket for when it rains? Yes No  
Do you have … Sport shoes (trainers) you can wear to run or play sports? Yes No  
Do you have … A school bag? Yes No  

Question 4: Do you know what you should do? Circle YES or NO

Do you know what you should do if … There is an earthquake while you are at school? Yes No
Do you know what you should do if … You are sick or get hurt while you are at school? Yes No
Do you know what you should do if … You are hungry and don’t have food at school with you? Yes No
Do you know what you should do if … You are being bullied at school? Yes No

Question 5: About you!

Please tick all the cultures/ethnicities that you are: Are you a boy or a girl? (Circle)
New Zealander / New Zealand European / Pākehā Boy
Māori Girl
Pacific Islander  
Other for example, Dutch, Japanese (Please write)  
How old are you?  
5       
6  
7  
8  
9  
10  
11  
12+  

Question 6: Is there anything else you want to tell us about how to make things better for you at our school? 

 

Download this sample student survey below in Word document format

Word 2007 icon. Appendix 2: Sample student survey (Word 2007, 18 KB)


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