OMB No. XXXX-X: Approval Expires XX/XX/XXXX



# School Survey on Crime and Safety (SSOCS)

2016 and 2018 OMB#1850-0761 v.7 

# AppendixB

–SSOCS 2016 Questionnaire National Center for Education Statistics Institute ofEducation Sciences U.S. Department of Education

February 25, 2015FORM (5-13-2015) SSOCS-1 **U.S. DEPARTMENT OF EDUCATION NATIONAL CENTER FOR EDUCATION STATISTICS**  **Collected by: U.S. DEPARTMENT OF COMMERCE**  **Economics and Statistics Administration**



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▲ **U.S. CENSUS BUREAU**



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# SCHOOL SURVEY ON CRIME AND SAFETY 2015–16 SCHOOL YEAR 

## PRINCIPAL QUESTIONNAIRE

Your answers may be used only for statistical purposes and may not be disclosed, or used, in identifiable form for any other purpose except as required by law [Education Sciences Reform Act of 2002 (ESRA 2002) 20 U.S.C., § 9573]. Reports of the findings from the survey will not identify participating districts, schools, or staff. Individual responses will be combined with those from other participants to produce summary statistics and reports. 

## PLEASE RESPOND BY: (Please correct any errors in name, address, and ZIP Code.)



## NOTICE THIS SURVEY HAS BEEN ENDORSED BY: OMB No. 1850-0761: Approval Expires xx/xx/xxxx

This survey is designed to be completed by the principal or the person most knowledgeable about school crime and policies to provide a safe environment at your school. **Conducted by: 2**  **FORM SSOCS-1 (5-13-2015)** 

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▲ §,#&¤ 110205 

### DEFINITIONS The following words are bolded and marked by an asterisk (*) wherever they appear in the questionnaire. Please use these definitions as you respond. Active shooter – an individual actively engaged in killing or attempting to kill people in a confined and populated area; in most cases, active shooters use firearm(s) and there is no pattern or method to their selection of victims. At school/at your school – activities happening in school buildings, on school grounds, on school buses, and at places that hold school-sponsored events or activities. Unless otherwise specified, this refers to normal school hours or to times when school activities/events were in session. Bullying – any unwanted aggressive behavior(s) by another youth or group of youths who are not siblings or current dating partners that involves an observed or perceived power imbalance and is repeated multiple times or is highly likely to be repeated. Cyberbullying – occurs when willful and repeated harm is inflicted through the use of computers, cell phones, or other electronic devices. Diagnostic assessment – an evaluation conducted by a medical or mental health professional that identifies whether an individual has one or more medical and/or mental health diagnoses. This is in contrast to an educational assessment, which does not focus on clarifying a student’s diagnosis. Evacuation – a procedure that requires all students and staff to leave the building. While evacuating to the school’s field makes sense for a fire drill that only lasts a few minutes, it may not be an appropriate location for a longer period of time. The evacuation plan should encompass relocation procedures and include backup buildings to serve as emergency shelters, such as nearby community centers, religious institutions, businesses, or other schools. Evacuation also includes “reverse evacuation,” a procedure for schools to return students to the building quickly if an incident occurs while students are outside. Firearm/explosive device – any weapon that is designed to (or may readily be converted to) expel a projectile by the action of an explosive. This includes guns, bombs, grenades, mines, rockets, missiles, pipe bombs, or similar devices designed to explode and capable of causing bodily harm or property damage. Hate crime – a criminal offense or threat against a person, property, or society that is motivated, in whole or in part, by the offender’s bias against a race, color, national origin, ethnicity, gender, religion, disability, or sexual orientation. Lockdown – a procedure that involves occupants of a school building being directed to remain confined to a room or area within a building with specific procedures to follow. A lockdown may be used when a crisis occurs outside of the school and an evacuation would be dangerous. A lockdown may also be called for when there is a crisis inside and movement within the school will put students in jeopardy. All exterior doors are locked and students and staff stay in their classrooms. Mental health disorders – collectively, all diagnosable mental disorders or health conditions that are characterized by alterations in thinking, mood, or behavior (or some combination thereof) associated with distress and/or impaired functioning. Mental health professionals – mental health services are provided by several different professions, each of which has its own training and areas of expertise. The types of professionals who may provide mental health services include psychiatrists, psychologists, psychiatric/mental health nurse practitioners, psychiatric/mental health nurses, clinical social workers, and professional counselors. Physical attack or fight – an actual and intentional touching or striking of another person against his or her will, or the intentional causing of bodily harm to an individual. Rape – forced sexual intercourse (vaginal, anal, or oral penetration). This includes sodomy and penetration with a foreign object. Both male and female students can be victims of rape. [Counts of attempted rape should be added to counts of rapes in your reporting of item 26a.]

Gang – an ongoing loosely organized association of three or more persons, whether formal or informal, that has a common name, signs, symbols, or colors, whose members engage, either individually or collectively, in violent or other forms of illegal behavior. Restorative circle – a formal mediation process led by a facilitator that brings affected parties of a problem together to explore what happened, reflect on their roles, find a solution, and ultimately restore harmony to individual relationships and the larger community. Robbery (taking things by force) – the taking or attempting to take anything of value that is owned by another person or organization, under confrontational circumstances by force or threat of force or violence and/or by putting the victim in fear. A key difference between robbery and theft/larceny is that robbery involves a threat or assault.**3 FORM SSOCS-1 (5-13-2015)**  

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▲ §,#&¤ 110205 

### DEFINITIONS – Continued The following words are bolded and marked by an asterisk (*) wherever they appear in the questionnaire. Please use these definitions as you respond. Sexual assault – an incident that includes threatened rape, fondling, indecent liberties, or child molestation. Both male and female students can be victims of sexual assault. Classification of these incidents should take into consideration the age and developmentally appropriate behavior of the offender(s). Sexual harassment – conduct that is unwelcome, sexual in nature, and denies or limits a student’s ability to participate in or benefit from a school’s education program. The conduct can be carried out by school employees, other students, and non-employee third parties. Both male and female students can be victims of sexual harassment, and the harasser and the victim can be of the same sex. The conduct can be verbal, nonverbal, or physical. Shelter-in-place – a procedure similar to a lockdown in that the occupants are to remain on the premises; however, shelter-in-place is designed to use a facility and its indoor atmosphere to temporarily separate people from a hazardous outdoor environment. Everyone would be brought indoors and building personnel would close all windows and doors and shut down the heating, ventilation, and air conditioning system (HVAC). This would create a neutral pressure in the building, meaning the contaminated air would not be drawn into the building. Special education student – a child with a disability, defined as mental retardation, hearing impairments (including deafness), speech or language impairments, visual impairments (including blindness), serious emotional disturbance, orthopedic impairments, autism, traumatic brain injury, other health impairments, or specific learning disabilities, who needs special education and related services and receives these under the Individuals with Disabilities Education Act (IDEA). Threat assessment team – a formalized group of persons who meet on a regular basis with the common purpose of identifying, assessing, and managing students who may pose a threat of targeted violence in schools. Treatment – a clinical service addressed at lessening or eliminating the symptoms of a disorder. In mental health, this may include psychotherapy, medication treatment, and/or counseling. Vandalism – the willful damage or destruction of school property, including bombing, arson, graffiti, and other acts that cause property damage. This includes damage caused by computer hacking. Violence – actual, attempted, or threatened fight or assault. Weapon – any instrument or object used with the intent to threaten, injure, or kill. This includes look-alikes if they are used to threaten others. Specialized school – a school that is specifically for students who were referred for disciplinary reasons, although the school may also have students who were referred for other reasons. The school may be at the same location as your school. Theft/larceny (taking things worth over $10 without personal confrontation) – the unlawful taking of another person’s property without personal confrontation, threat, violence, or bodily harm. This includes pocket picking, stealing a purse or backpack (if left unattended or no force was used to take it from owner), theft from a building, theft from a motor vehicle or of motor vehicle parts or accessories, theft of a bicycle, theft from a vending machine, and all other types of thefts.WHERE SHOULD I RETURN MY COMPLETED QUESTIONNAIRE? Please return your completed questionnaire in the enclosed postage-paid envelope or mail it to:

**4 FORM SSOCS-1 (5-13-2015)**  

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▲ §,$%¤ 110304 Paperwork Burden Statement According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this voluntary information collection is 1850-0761. The time required to complete this information collection is estimated to average 52 minutes per response, including the time to review instructions, search existing data resources, gather the data needed, and complete and review the information collection. If you have any comments concerning the accuracy of the time estimate, suggestions for improving this collection, or comments or concerns about the contents or the status of your individual submission of this questionnaire, please write directly to: School Survey on Crime and Safety (SSOCS), National Center for Education Statistics, 1990 K Street, N.W., #9034, Washington, DC 20006. U.S. Census Bureau ATTN: DCB/PCSPU, Building 60A 1201 E. 10th Street Jeffersonville IN 47132-0001 

### SURVEY INSTRUCTIONS: For most questions, please mark the box that best reflects your school’s circumstances. Please mark your response with an "X". Some questions ask for counts or percents of items. Please place an "X" in the None box, rather than leaving the item blank, if the number of such items at your school is zero. It is not necessary to consult any records for items 9 and 39. Please provide estimates for these questions. Definitions are available for many terms on pages 2 and 3. Defined terms are bolded and marked with an asterisk (*) throughout the survey. Some questions refer to the 2015–16 school year. Please report for the school year to date. Please have this questionnaire filled out by the person most knowledgeable about school crime and policies to provide a safe environment.

If you have any questions about this questionnaire, please contact the U.S. Census Bureau at: 1-888-595-1332 or at addp.education.surveys@census.gov. Please keep a copy of the completed questionnaire for your records.**5 FORM SSOCS-1 (5-13-2015)**  

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▲ §,%$¤ 110403 Please provide the following information: Name of person completing form

Title/position
**014 010**  Area code Number

**— —**  **012** Telephone number

Number of years at this school **016** Best days and times to reach you (in case we have further questions)
**018** E-mail address
**020** Is the correct grade range for this school? Check one response. 1 2 Principal Other – Please specify 3 Vice-principal or disciplinarian

**015**

Check all that apply. Prekindergarten

**GO TO QUESTION 1 ON PAGE 6.** Yes Which of the following grades are offered in this school? ➤ GO TO Question 1 on page 6. No ➤ 1 2 **022**

1 **024** 1 **026** 1 **028** 1 **030** 1 **032** 1 **034** 1 **036** 1 **038** 1 **040** 1 **042** 1 **044** 1 **046** 1 **048** 1 **050** 1 **052** Kindergarten 1st 2nd 3rd 4th 5th 6th 7th 8th 9th 10th 11th 12th Ungraded**6 FORM SSOCS-1 (5-13-2015)**  

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▲ §,&#¤ 110502 

## School Practices and Programs During the 2015–16 school year, was it a practice of your school to do the following? 

### 1. If your school changed its practices during the school year, please answer regarding your most recent practice. Require visitors to sign or check in and wear badges Control access to school buildings during school hours (e.g., locked or monitored doors) 

### b. Control access to school grounds during school hours (e.g., locked or monitored gates) Require metal detector checks on students every day Perform one or more random metal detector checks on students Close the campus for most or all students during lunch Use one or more random dog sniffs to check for drugs Perform one or more random sweeps for contraband (e.g., drugs or weapons*), but not including dog sniffs Require drug testing for athletes Require drug testing for students in extra-curricular activities other than athletics Require students to wear uniforms Enforce a strict dress code Provide school lockers to students Require clear book bags or ban book bags on school grounds

Require students to wear badges or picture IDs Require faculty and staff to wear badges or picture IDs Use one or more security cameras to monitor the school Provide telephones in most classrooms Provide two-way radios to any staff Limit access to social networking websites (e.g., Facebook, Twitter, YouTube, Instagram) from school computers YES NO 110 

### c. d. e. 114 112

116
121 

### g. h. 120


### i. j. k. l. m.

n. 136 

### o. 138


### q. 140



### r. 142 

### s. 144 

### t. 146 

### u. 148 

### v. w. 151 1 2 1 2 1 2 1 2

122 124 126 128 130 134

150
*Please use the definition on pages 2 and 3. 1 2 1 2
1 2 1 2 1 2 1 2 1 2 1 2 1 2 1 2 1 2

1 2 1 2 1 2 1 2 1 2 1 2 1 2 Check "Yes" or "No" on each line.

Provide an electronic notification system that automatically notifies parents in case of a school-wide emergency Provide a structured anonymous threat reporting system (e.g., online submission, telephone hotline, or written submission via drop box)

1 2 

### x. 141 143 

### a.

Prohibit useof cell phones and text messaging devices during school hours 

### y. 153 1 2 Equip classrooms with locks so that doors can be locked from the inside 

### f.

Have “panic button(s)” or silent alarm(s) that directly connect to law enforcement in the event of an incident 

### p. 139 1 2**7 FORM SSOCS-1 (5-13-2015)**  

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▲ §,’"¤ 110601 

### 2.
a. b. c. d. e. Does your school have a written plan that describes procedures to be performed in the following scenarios? YES NO 155 Active shooter* Natural disasters (e.g., earthquakes or tornadoes) Hostages Bomb threats or incidents Chemical, biological, or radiological threats or incidents (e.g., release of mustard gas, anthrax, smallpox, or radioactive materials) 158 162 166 170



### 4. During the 2015–16 school year, did your school have any formal programs intended to prevent or reduceviolence* that included the following components for students? If a program has multiple components, answer "Yes" for each that applies. YES NO 174 1 2 

### a. Prevention curriculum, instruction, or training for students (e.g., conflict resolution, anti-bullying*, datingviolence* prevention) 

### b. Behavioral or behavior modification intervention for students (including the use of positive reinforcements) 

### c. Counseling, social work, psychological, or therapeutic activity for students 

### d. Individual attention/mentoring/tutoring/coaching of students by students 

### e. Recreational, enrichment, or leisure activities for students 

### f. Student involvement in peer mediation 

### g.

Programs to promote a sense of community/social integration among students 

### k. 176 1 2 178 1 2 180 1 2 181 1 2
175 1 2

186 1 2 *Please use the definition on pages 2 and 3. 1 2 1 2 1 2 1 2 1 2

Check "Yes" or "No" on each line. 

### f. g. h. 169 Suicide threat or incident Pandemic flu Post-crisis reunification of students with their families 173 167 1 2 1 2 1 2

Individual attention/mentoring/tutoring/coaching of students by adults 1 2 182 

### 3.
a. b. c. During the 2015–16 school year, has your school drilled students on the use of the following emergency procedures? YES NO 163 Evacuation* Lockdown* Shelter-in-place* 165 167 1 2 1 2 1 2 Please respond to each of these according to the definitions provided on pages 2 and 3.

Student court to address student conduct problems or minor offenses 

### h. 177 1 2 Student involvement in restorative circles* (e.g., "peace circles," "talking circles," "conflict circles") 

### i. 179 1 2 Social emotional learning (SEL) training for students (e.g., social skills, anger management, mindfulness) 

### j. 183 1 2**8 FORM SSOCS-1 (5-13-2015)**  

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### 5. During the 2015–16 school year, did your school have a threat assessment team* or any other formal group of persons to identify students who might be a potential risk for violent or harmful behavior (toward themselves or others)?



### 7. During the 2015–16 school year, did your school have any recognized student groups with the following purposes? Check "Yes" or "No" on each line. YES NO 604 1 2 

### a. Acceptance of lesbian, gay, bisexual, transgender, and questioning (i.e., LGBTQ) students (e.g., Gay-Straight Alliance) 

### b. Acceptance of students with disabilities (e.g., Best Buddies) 

### c. Acceptance of cultural diversity (e.g., Cultural Awareness Club) 606 1 2 608 1 2

*Please use the definition on pages 2 and 3. 600 1 Yes 2 No 

### 6. During the 2015–16 school year, how often did your school’s threat assessment team* formally meet?
602 1 At least once a week 2 At least once a month Check one response.

3 On occasion 4 Never ➤ GO TO item 7 below.

2 

## Parent and Community Involvement at School 8. Check "Yes" or "No" on each line. Have a formal process to obtain parental input on policies related to school crime and discipline 

### a. Provide training or technical assistance to parents in dealing with students’ problem behavior 

### b. Have a program that involves parents at school* helping to maintain school discipline YES NO 190


### c. 194 192 1 2 1 2 1 Which of the following does your school do to involve or help parents?➤**9 FORM SSOCS-1 (5-13-2015)**  

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▲ §,(!¤ 110700 *Please use the definition on pages 2 and 3. What is your best estimate of the percentage of students who had at least one parent or guardian participating in the following events during the 2015–16 school year? Open house or back-to-school night Regularly scheduled parent-teacher conferences Special subject-area events (e.g., science fair, concerts) Volunteered at school* or served on a committee

Parent groups Social service agencies Juvenile justice agencies Law enforcement agencies Mental health agencies Civic organizations/service clubs Private corporations/businesses Religious organizations 

### a. 196 

### b. c. d.

a. 204 

### b. 206 

### c. 208 

### d. 210 

### e. 212 

### f. 214 

### g. 216 

### h. 218 

### 9. Check one response on each line. School does not offer 76–100% 0–25% 26–50% 51–75%

198 200 202

YES NO 

### 10. During the 2015–16 school year, were any of the following community and outside groups involved in your school’s efforts to promote safe, disciplined, and drug-free schools? Check "Yes" or "No" on each line. 5 2 1 3 4 5 2 1 3 4 5 2 1 3 4 5 2 1 3 4

204 2 1 2 1

2 1 2 1 2 1 2 1 2 1 2 1**10 FORM SSOCS-1 (5-13-2015)**  

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▲ §,)*¤ 110809 *Please use the definition on pages 2 and 3. 

## School Security Staff During the 2015–16 school year, did you have any sworn law enforcement officers (including School Resource Officers) present at your school* at least once a week? 

### 11.

At any time during school hours 

### a. While students were arriving or leaving 

### b. At selected school activities (e.g., athletic and social events, open houses, science fairs) Were sworn law enforcement officers (including School Resource Officers) used at least once a week in or around your school at the following times?
YES NO 612


### c. 616 614 1 2 1 2 1 2 

### 12. Do not include security guards or other security personnel who are not sworn law enforcement in your response to this item; information on additional security staff is gathered in item 19. Yes 1 No 2➤ ➤ GO TO item 19 on page 12.

When school/school activities were not occurring 

### d. 618 1 2 610Do not include security guards or other security personnel who are not sworn law enforcement in your response to this item; information on additional security staff is gathered in item 19.

Check "Yes" or "No" on each line.

Carry a stun gun (e.g., Taser gun) 

### a. Carry chemical aerosol sprays (e.g., Mace, pepper spray) 

### b. Carry afirearm* Did any of the sworn law enforcement officers (including School Resource Officers) at your school* routinely:
YES NO 620


### c. 624 622 1 2 1 2 1 2 

### 13. Do not include security guards or other security personnel who are not sworn law enforcement in your response to this item; information on additional security staff is gathered in item 19. Check "Yes" or "No" on each line.

Wear a body camera 

### d. 626 1 2**11 FORM SSOCS-1 (5-13-2015)**  

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▲ §,*)¤ 110908 *Please use the definition on pages 2 and 3. Motor vehicle traffic control Security enforcement and patrol Maintaining school discipline Coordinating with local police and emergency team(s) Identifying problems in the school and proactively seeking solutions to those problems Training teachers and staff in school safety or crime prevention Mentoring students 

### a. 628 

### b. 630 

### c. 632 

### d. 634 

### e. 636 

### f. 638 

### g. 640 YES NO 

### 14. Did these sworn law enforcement officers (including School Resource Officers) participate in the following activities at your school*? Check "Yes" or "No" on each line.
1 2 1 2 1 2 1 2 1 2 1 2 1 2 Teaching a law-related education course or training students (e.g., drug-related education, criminal law, or crime prevention courses) 

### h. 642 1 2 Recording or reporting discipline problems to school authorities 

### i. 644 1 2 Providing information to school authorities about the legal definitions of behavior for recording or reporting purposes (e.g., defining assault for school authorities) 

### j. 646 1 2 During the 2015–16 school year, did your school have a sworn law enforcement officer (including School Resource Officers) present for all instructional hours every day that school was in session? 

### 15.

Yes 1 No 2 648Include officers who are used as temporary coverage while regularly assigned officers are performing duties external to the school (such as attending court) or during these officers’ personal leave time. Check "No" if your school does not have officer coverage while regularly assigned officers are performing duties external to the school (such as attending court) or during these officers’ personal leave time. Do not include security guards or other security personnel who are not sworn law enforcement in your response to this item; information on additional security staff is gathered in item 19. During the 2015–16 school year, did your school or school district have any formalized policies or written documents (e.g., Memorandum of Use, Memorandum of Agreement) that outlined the roles, responsibilities, and expectations of sworn law enforcement officers (including School Resource Officers) at school? 

### 16.
Yes 1 No 2 ➤ GO TO item 18 on page 12. 650Do not include security guards or other security personnel who are not sworn law enforcement in your response to this item; information on additional security staff is gathered in item 19.

➤ CONTINUE to item 17 on page 12.**12 FORM SSOCS-1 (5-13-2015)**  

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▲ §,+(¤ 111007 *Please use the definition on pages 2 and 3. Did these formalized policies or written documents include language defining the role of sworn law enforcement officers (including School Resource Officers) at school in the following areas? 

### 17.
Student discipline 

### a. Use of physical restraints (e.g., handcuffs, Tasers, Mace, pepper spray, or other physical or chemical restraints) 

### b. YES 652


### c. 656 654 1 3



### d. 658 

### e. Check "Yes," "No," or "Don’t know" on each line. NO DON’T KNOW 2
Use offirearms* Making arrests on school grounds Reporting of criminal offenses to a law enforcement agency 660 1 3 2 1 3 2 1 3 2 1 3 2

School Resource Officers (Include all career sworn law enforcement officers with arrest authority, who have specialized training and are assigned to work in collaboration with school organizations.) Number at your school* How many of the following were present in your school at least once a week? 

### 18. If an officer works full-time across various schools in the district, please count this officer as "part-time" for your school. Do not include security guards or other security personnel who are not sworn law enforcement in your response to this item; information on additional security staff is gathered in item 19.


### a.

Sworn law enforcement officers who are not School Resource Officers 

### b. 236 None 238 None ii. Part-time
240 None 242 None ii. Part-time 0 0
0 0 i. Full-time

i. Full-time If none, please place an "X" in the None box.

Aside from School Resource Officers or other sworn law enforcement officers, how many additional security guards or security personnel were present in your school at least once a week? 

### 19. If a security guard or other security personnel works full-time across various schools in the district, please count this person as “part-time” for your school. If none, please place an "X" in the None box. Number at your school*
232 None 234 None ii. Part-time 0 0 i. Full-time Security guards or security personnel**13 FORM SSOCS-1 (5-13-2015)**  

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▲ §,,’¤ 111106 *Please use the definition on pages 2 and 3. 

## School Mental Health Services 20.

Diagnostic assessment* for mental health disorders* 

### a. During the 2015–16 school year, were the following mental health services available to students under the official responsibilities of a licensed mental health professional*? Check "Yes" or "No" for each type of service available to students, regardless of whether the service was used this school year.

Treatment* for mental health disorders* 

### b. AT SCHOOL* by a mental health professional* employed by the school or district Please respond to each of these according to the definitions provided on pages 2 and 3. AT SCHOOL* by a mental health professional* other than a school or district employee, funded by the school or district OUTSIDE OF SCHOOL by a mental health professional* other than a school or district employee, funded by the school or district YES

1 662 2 1 664 2 1 666 2

1 668 2 1 670 2 1 672 2 During the 2015–16 school year, to what extent did the following factors limit your school’s efforts to provide mental health services to students? 

### 21.
Inadequate access to licensed mental health professionals* 

### a. Inadequate funding 

### b. Limits in major way 674 

### c. 678 676 1 3


### d. 680 

### e. Check one response on each line. Limits in minor way Does not limit 2 Potential legal issues for school or district (e.g., malpractice, insufficient supervision) Lack of parental support in addressing their children’s mental health disorders* Lack of community support for providing mental health services to students in your school 682 Written or unwritten policies regarding the school’s requirement to pay for the diagnostic assessment or treatment of students 

### f. 684 Reluctance to label students with mental health disorders* to avoid stigmatizing the child 

### g. 686 1 3 2 1 3 2 1 3 2 1 3 2 1 3 2 1 3 2 NO YES NO YES NO Service was available to students...**14 FORM SSOCS-1 (5-13-2015)**  

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▲ §,-&¤ 111205 *Please use the definition on pages 2 and 3. 

## Staff Training

Training in classroom management for teachers Training in school-wide discipline policies and practices related to violence*
Training in school-wide discipline policies and practices related to alcohol and/or drug use Training in safety procedures (e.g., how to handle emergencies) Training in recognizing early warning signs of students likely to exhibit violent behavior Training in recognizing physical, social, and verbal bullying* behaviors 

### a. 266 

### b. 268 

### d. 267 

### e. 269 

### f. 270 

### g. 272 YES NO 

### 22. During the 2015–16 school year, did your school or school district provide any of the following for classroom teachers or aides? Check "Yes" or "No" on each line.
1 2 1 2

1 2 1 2 1 2 1 2 

### i. 273 

### j. 274 1 2 1 2 Training in school-wide discipline policies and practices related to bullying* other than cyberbullying*

Training in recognizing signs of students using/abusing alcohol and/or drugs 

### c. 265 1 2 Training in school-wide discipline policies and practices related to cyberbullying*

Training in intervention and referral strategies for students displaying signs of mental health disorders* (e.g., depression, mood disorders, ADHD) 

### h. 271 1 2


### k. 276 1 2 Training in positive behavioral intervention strategies 

### l. 277 1 2 Training in crisis prevention and intervention**15 FORM SSOCS-1 (5-13-2015)**  

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▲ §,+(¤ 111007 *Please use the definition on pages 2 and 3. 

## Limitations on Crime Prevention To what extent do the following factors limit your school’s efforts to reduce or prevent crime? 

### 23. Lack of or inadequate teacher training in classroom management 

### a. Lack of or inadequate alternative placement/programs for disruptive students 

### b. Limits in major way 280


### c. 284 282 1 3


### d. 286 

### e. Check one response on each line. Limits in minor way Does not limit 2 Likelihood of complaints from parents Lack of teacher support for school policies Lack of parental support for school policies 288 Teachers’ fear of student retaliation 

### f. 290 Fear of litigation 

### g. Inadequate funds 

### h. Inconsistent application of school policies by faculty or staff 

### i. j. Federal, state, or district policies on disciplining special education students* Fear of district or state reprisal Federal policies on discipline and safety other than those for special education students* 

### l. k. 292 294 296 298 300 302 State or district policies on discipline and safety other than those for special education students* 

### m. 304 

## Frequency of Crime and Violence at School During the 2015–16 school year, have any of your school’s students, faculty, or staff died as a result of a homicide committed at your school*? 

### 24.
306 2 During the 2015–16 school year, has there been at least one incident at your school* that involved a shooting (regardless of whether anyone was hurt)? Please include those incidents that occurred at school*, regardless of whether a student or non-student used thefirearm*. 

### 25.

308 1 3 2 1 3 2 1 3 2 1 3 2 1 3 2 1 3 2 1 3 2 1 3 2 1 3 2 1 3 2 1 3 2 1 3 2

1 2 Yes No Yes 1 No 2**16 FORM SSOCS-1 (5-13-2015)**  

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▲ §,,’¤ 111106 *Please use the definition on pages 2 and 3. 

## Number of Incidents 26.

Rape* or attempted rape* 

### a. Total number of recorded incidents 0 Number reported to police or other law enforcement Please record the number of incidentsthat occurred at school* during the 2015–16 school year for the offenses listed below. (NOTE: The number in column 1 should be greater than or equal to the number in column 2.) The number of incidents, not the number of victims or offenders. Recorded incidents, regardless of whether any disciplinary action was taken. Recorded incidents, regardless of whether students or non-students were involved. Incidents occurring before, during, or after normal school hours. If none, please place an "X" in the None box.

Sexual assault* other than rape* (include threatened rape*) 

### b. Robbery* (taking things by force) 

### c. None 310 0 None 312 0 None 314 0 None 316 i. With a weapon* 0 None 318 0 None 320 ii. Without a weapon* 0 None 322 0 None 324 Physical attack or fight* 

### d. i. With a weapon* 0 None 326 0 328 ii. Without a weapon* 0 None 330 0 None 332 Threats of physical attack* 

### e. i. With a weapon* 0 None 334 0 None 336 ii. Without a weapon* 0 None 338 0 None 340 Theft/larceny* (taking things worth over $10 without personal confrontation) 

### f. 0 None 342 0 None 344 Possession of afirearm or explosive device* 

### g. 0 None 346 0 None 348 Possession of a knife or sharp object 

### h. 0 None 350 0 None 352 Distribution, possession, or use of illegal drugs 

### i. 0 None 354 0 None 356 Distribution, possession, or use of alcohol 

### k. 0 None 358 0 None 360 Vandalism* 

### l. 0 None 362 0 None 364 None None Please provide information on:

Column 1 Column 2

Inappropriate distribution, possession, or use of prescription drugs 

### j. 0 None 355 0 None 357**17 FORM SSOCS-1 (5-13-2015)**  

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▲ §,-&¤ 111205 *Please use the definition on pages 2 and 3. 

### 28. During the 2015–16 school year, how many hate crimes* occurred at your school*? If none, please place an "X" in the None box.



### 30. How many times during the 2015–16 school year were activities disrupted by unplannedfire alarms (i.e., false alarms)? Number of unplanned fire alarms 370 

### 31. Excluding planned and unplanned fire alarms, how many times during the 2015–16 school year were activities disrupted by otheractions, such as death threats, bomb threats, or chemical, biological, or radiological threats? If none, please place an "X" in the None box. Number of disruptions 0 None 372 0 None If none, please place an "X" in the None box. Do not include fire alarms due to actual emergencies. 

### 27. Please record the number of arrests that occurred at your school during the 2015–16 school year. Please include all arrests that occurred at school*, regardless of whether a student or non-student was arrested. Number of arrests 688 0 None If none, please place an "X" in the None box.

Number of hate crimes* 690 0 None ➤ GO TO item 30 below.

YES NO 692 1 2 

### a. Race or color 

### b. National origin or ethnicity 

### c. Gender 694 1 2 696 1 2 

### 29. To the best of your knowledge, were any of these hate crimes* motivated by the offender’s bias against the following characteristics? Check "Yes" or "No" on each line.



### d. Religion 698 1 2 

### e. Disability 700 1 2 

### f. Sexual orientation or gender identity (i.e., LGBTQ) 702 1 2➤
If a hate crime was motivated by multiple characteristics, answer "Yes" for each that applies.**18 FORM SSOCS-1 (5-13-2015)**  

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▲ §,.%¤ 111304 *Please use the definition on pages 2 and 3. 

## Disciplinary Problems and Actions To the best of your knowledge, how often do the following types of problems occur at your school*? 

### 32.

Student racial/ethnic tensions 

### a. Happens at least once a month 374 5 Check one response on each line. Happens on occasion Never happens 3 Happens

daily Happens at least once a week 12 4 Student bullying* 

### b. 376 5 3 12 4 Student sexual harassment* of other students 

### c. 378 5 3 12 4

Student verbal abuse of teachers 382 5 3 12 4 Widespread disorder in classrooms 

### e.

380 5 3 12 4 Student acts of disrespect for teachers other than verbal abuse 

### f.

384 5 3 12 4 Gang* activities 

### g.
386 5 3 2 4 

### h. 1 

### d. 379 5 3 12 4 Student harassment of other students based on sexual orientation or gender identity (i.e., LGBTQ)

To the best of your knowledge, thinking about problems that can occur anywhere (both at your school and away from school), how often do the following occur? 

### 33.
Cyberbullying* among students who attend your school 

### a. Happens at least once a month 389 5 Check one response on each line. Happens on occasion Never happens 3 Happens

daily Happens at least once a week 12 4 School environment is affected by cyberbullying* 

### b. 391 5 3 12 4 Staff resources are used to deal with cyberbullying* 

### c. 393 5 3 12 4**19 FORM SSOCS-1 (5-13-2015)**  

# ▲ ▼ ▼

▲ §,/$¤ 111403 

### 34.

a. b. YES NO 392



### c. d. e. 1 2 During the 2015–16 school year, did your school allow for the use of the following disciplinary actions? If "yes," were the actions used this school year?
YES NO 390 1 2

Does your school allow for use of the following? If “Yes,” was the action used this

school year? Removal with no continuing school services for at least the remainder of the school yearRemoval with school-provided tutoring/athome instruction for at least the remainder of the school year Transfer to a specialized school* for disciplinary reasons Transfer to another regular school for disciplinary reasons Out-of-school suspension or removal for less than the remainder of the school year 396 394 400 398 404 402

408 406 412 410 

### f. In-school suspension for less than the remainder of the school year 414 418 

### g. Referral to a school counselor 424 422 

### h. Assignment to a program (during school hours) designed to reduce disciplinary problems 428 426 

### i. Assignment to a program (outside of school hours) designed to reduce disciplinary problems 432 430 

### j. Loss of school bus privileges due to misbehavior 436 434 

### k. Corporal punishment 440 438 

### l. Placement on school probation with consequences if another incident occurs 444 442 

### m. Detention and/or Saturday school 448 446 

### n. Loss of student privileges 452 450 

### o. Requirement of participation in community service 456 454 *Please use the definition on pages 2 and 3. 1 2 1 2 1 2 1 2 1 2 1 2

1 2 1 2 1 2 1 2

416 1 2 1 2 420 1 2 1 2 1 2 1 2 1 2 1 2
1 2 1 2 1 2 1 2 1 2 1 2 1 2 1 2 1 2 1 2 1 2 1 2 1 2 1 2 i. ii. With curriculum/services provided

With no curriculum/services provided
i. With no curriculum/services provided ii. With curriculum/services provided**20 FORM SSOCS-1 (5-13-2015)**  

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▲ §,0#¤ 111502 458 0 None 

### 35. During the 2015–16 school year, how many students were involved in committing the following offenses, and how many of the following disciplinary actions were taken in response? Please follow these guidelines when determining the number of offenses and disciplinary actions:

Use/possession of a weapon* other than afirearm/ explosive device* 

### b. Distribution, possession, or use of illegal drugs 

### c. 474

Distribution, possession, or use of alcohol 

### d. If a student was disciplined more than once, please count each offense separately (e.g., a student who was suspended five times would be counted as five suspensions).

476 472 470 468

Total students

involved in recorded offenses (regardless of

disciplinary

action) Removals with no continuing school services for at least the remainder of the school year Transfers to specialized

schools* Out-of-school suspensions lasting 5 or more days, but less than the remainder of the school year Other disciplinary action (e.g., suspension for

less than 5 days, detention, etc.) 

### a. Use/possession of a firearm/ explosive device*

484 486 482 480 478
494 496 492 490 488 Physical attacks or fights* 

### e. 504 506 502 500 498 

### 36. During the 2015–16 school year, how many of the following occurred? Students were removed from your school without continuing services for at least the remainder of the school year for disciplinary reasons. (NOTE: This number should be greater than or equal to the sum of entries in item 35, column 2.) 

### a. Total number If none, please place an "X" in the None box.

518

Students were transferred to specialized schools* for disciplinary reasons. (NOTE: This number should be greater than or equal to the sum of entries in item 35, column 3.) 

### b. *Please use the definition on pages 2 and 3. 460 0 None 462 0 None 464 0 None 466 0 None

0 None 0 None 0 None 0 None 0 None

0 None 0 None 0 None 0 None 0 None

0 None 0 None 0 None 0 None 0 None

0 None 0 None 0 None 0 None 0 None

0 None 520 0 None Column number 1 2345 If none, please place an "X" in the None box. If more than one student was involved in an incident, please count each student separately when providing the number of disciplinary actions. If a student was disciplined in two different ways for a single infraction (e.g., the student was both suspended and referred to counseling), count only the most severe disciplinary action that was taken. If a student was disciplined in one way for multiple infractions, record the disciplinary action for only the most serious offense.**21 FORM SSOCS-1 (5-13-2015)**  

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▲ §,1"¤ 111601 

## School Characteristics: 2015–16 School Year As of October 1, 2015, what was your school’s total enrollment? 

### 37.

Eligible for free or reduced-price lunch 

### a. Limited English Proficient (LEP) 

### b. Special education students* What percentage of your current students fit the following criteria?



### c. Male 

### d. 522 Students 

### 38. Percent of students

0 524 None %

526
528

Below the 15thpercentile on standardized tests 

### a. Likely to go to college after high school 

### b. Consider academic achievement to be very important What is your best estimate of the percentage of your current students who meet the following criteria?



### c. 39. Percent of students 532
534

536 How many classroom changes do most students make in a typical day? 

### 40.

538Count going to lunch and then returning to the same or a different classroom as two classroom changes. Do not count morning arrival or afternoon departure. 0 None %

0 None %

0 None % 530

0 None %

0 None %

0 None %

0 None *Please use the definition on pages 2 and 3. If none, please place an "X" in the None box.

If none, please place an "X" in the None box.

If none, please place an "X" in the None box. Typical number of classroom changes**22 FORM SSOCS-1 (5-13-2015)**  

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▲ §,2!¤ 111700 How would you describe the crime level in the area(s) in which your students live? 

### 41. Check one response. 560 1 2 High level of crime Moderate level of crime Low level of crime Students come from areas with very different levels of crime 3 4 How would you describe the crime level in the area where your school is located? 

### 42. Check one response. 562 1 2 High level of crime Moderate level of crime Low level of crime 3 Which of the following best describes your school? 

### 43. Check one response. 1 2 Regular public school Charter school Has a magnet program for part of the school Exclusively a magnet school Other – Please specify 3 4 5
565 564



### 44. What is your school’s average daily attendance?

Transferred tothe school 

### a. During the 2015–16 school year, how many students transferred to or from your school after the start of the school year? Please report on the total mobility, not just transfers due to disciplinary actions. (NOTE: This number should be greater than or equal to the number of students who were transferred for disciplinary reasons, as reported in item 36b.) If a student transferred more than once in the school year, count each transfer separately.

570 Transferred fromthe school 

### b. 0 None 

### 45.

572 0 None

Percent of students present 568 0 None %

If none, please place an "X" in the None box.

# ▲ ▼ ▼

▲ Please provide the following dates: 

### 46. b. End date for your 2015–16 school year 

### a. Start date for your 2015–16 school year



### c. Date you completed the questionnaire / /2015 / /2016 / /2016 574 576 578 Month Day

23 **FORM SSOCS-1 (5-13-2015)** 

# §,3*¤ 111809 How long did it take you to complete this form, not counting interruptions? 

### 47. Please record the time in minutes (e.g., 55 minutes, 65 minutes). 580 Minutes

## Additional data collected by the National Center for Education Statistics (NCES) on a variety of topics

in elementary, secondary, postsecondary, and international education are available from the NCES website at: http://nces.ed.gov/surveys/ssocs To learn more about this survey and to access reports from earlier collections, see the School Survey on Crime and Safety (SSOCS) website at: Please return your completed questionnaire in the enclosed postage-paid envelope or mail it to: U.S. Census Bureau Attn: DCB/PCSPU, Building 60A 1201 E 10th Street Jeffersonville, IN 47132-0001 Thank you very much for your participation in this survey. If you have anyquestions, please contact us, toll–free, at: 1–888–595–1332 or by e-mail at: addp.education.surveys@census.gov

For additional data collected by various Federal agencies, including the Department of Education, visit the Federal Statistics clearinghouse at: http://www.fedstats.sites.usa.gov http://nces.ed.gov



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▲
**24 FORM SSOCS-1 (5-13-2015)**  

# §,4)¤ 111908