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A Way Through Conflict
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Student Pre-Attendance Conference Survey
Home
RESOURCES
Student Pre-Attendance Conference Survey
Student Pre-Attendance Conference Survey
Hey there! We get it
– sitting in a room full of adults talking about your behavior can be super awkward and intimidating. That's why we've put together a quick survey for you. It's a chill way to share your thoughts with the school without all the stress. Please fill out this survey before the meeting with your parents and the school. Thanks!
Name (first and last):
(Required)
School:
(Required)
Please identify the barriers that keep you from attending school. In other words, what gets in the way of you being able to come to school every day? (Identify all reasons that apply to you.)
(Required)
I don’t get enough sleep at night and that keeps me from getting up in time to attend school.
I have a part-time job in the evenings, and I feel too tired to get up and go to school the next day.
I often miss the bus or don’t have anyone to transport me to school on time.
I don’t like school very much and can’t see a reason why I need to attend school.
When I go to school, I am bullied by other students or subject to violence from my peers.
I find some teachers very intimidating, and I don’t want to go to their class.
I have difficulty learning and need some additional tutoring or coaching to help me pass my classes.
I feel a high level of anxiety when I get up in the morning, and that makes me not want to go to school.
I often feel tired or depressed, and this makes me not want to attend school.
I have some chronic health problems that keep me out of school.
There have been changes in my home or family life that make it difficult for me to want to go to school.
I just don’t feel motivated to learn the subjects I take at school.
I don’t have any friends at school so why go.
I don’t get along with the principal or assistant principal, and I feel like they single me out for punishment.
There are too many rules at school, and I just don’t feel like following them.
School starts too early, and I can’t get there in time.
I believe I have some learning disabilities that have not been identified.
My parent/guardian goes to work before it is time for me to get up for school and I don’t have anyone to wake me up in time.
I would rather go to a vocational or technical school that would prepare me better for employment after graduation.
I don’t feel I am respected by some teachers or the school administration.
The school day lasts too long. I wish I could do some kind of work internship so that I only attended school for half a day.
I am distracted at school by my intense need for tobacco, alcohol, video games, or other addictive activities or substances.
For some reason, I get sick during the school day, and I just feel like going home.
I participate in after-school sports or extra-curricular activities that make me too tired to go to school the next day.
Things are rough or chaotic at home—sometimes I can’t get the sleep I need or there is no one there to help me get something to eat.
I am homeless.
I have no one to talk to about my personal problems and it makes me unmotivated to come to school.
I don’t feel like there is anything at school for me.
Other
Other (Please Explain):
(Required)
What are some “helps” that would make it more possible for you to get to school every day? (Check all that apply.)
(Required)
A plan to help me get up in the morning
Tutoring or after-school coaching to help me pass my school classes
A change in my course schedule
Fewer hours of after-school employment
Teachers who take an interest in me and help me pass their class
Counseling or support groups to help with my anxiety or depression
Medical help or appropriate medication to with my health problems
Help with getting my parent/guardian to inform the school when I have to be legitimately absent from school
A less chaotic home situation
Proper food at home and at school
Better relationships with my parents
A vehicle so that I can get myself to school on time
Help with stopping the bullying or violence that I experience at school
Guidance for getting into the appropriate vocational/technical class to help me prepare for post-graduation employment
Setting me up with a work internship and half days of school
Classes that provide more life skills to help me navigate life after high school
Testing to identify if I have learning disabilities that need to be recognized by my parents and teachers
More activities at school aimed at helping me to make connections (friendships) with my peer group
Other
Other (Please Explain):
(Required)
Phone
This field is for validation purposes and should be left unchanged.
