Student Survey on School Safety and Homophobia

(For classroom teachers to use with students)
Please circle answers honestly

Grade: 8 9 10 11 12 Gender: M F

Race/Ethnicity:

___Black/Afro-Canadian

___White/Caucasian

___ Aboriginal/ First Nations

___Asian /Pacific Islander

___Mixed/Multiracial

___Latino/Hispanic

___ Indo-Canadian

___Other (___________)

1) Are you comfortable with lesbian, gay, bisexual, transgender, and questioning issues?

Yes No

2) Would it bother you if you heard someone use a racial slur?

Yes No

3) Would it bother you if you heard someone use an anti-gay comment?

Yes No

4) How often do you hear derogatory comments such as "that's so gay," "fag," "dyke," "queer," "homo," or "lesbo" at school?

Never 1-2 times a week 1-2 times a day 2-10 times a day 10+ times a day

5) How often do you hear teachers make anti-gay comments?

Never 1-2 times a week 1-2 times a day 2-10 times a day 10+ times a day

6) How often do you make anti-gay comments?

Never 1-2 times a week 1-2 times a day 2-10 times a day 10+ times a day

7) How often do you hear teachers or staff intervene when anti-gay comments are made?

Never 1-2 times a week 1-2 times a day 2-10 times a day 10+ times a day

8) How often do you ask people not to make anti-gay comments?

Never 1-2 times a week 1-2 times a day 2-10 times a day 10+ times a day

9) If you don't stop people from making anti-gay comments, is it because:

A) You want to but you don't know what to say,

B) You want to but you are afraid that the attack will turn against you,

C) You don't know who to report it to,

D) You want to report it but would like to remain anonymous, or

E) Other (please explain):

10) Do you think that this is a safe school for students to be openly gay?

Yes No

11) Is this a safe school for straight people to be openly supportive of their gay/lesbian/bisexual friends?

Yes No

12) Do you think this is a safe school for teachers and staff to be openly gay?

Yes No

13) Do you know of any openly gay, lesbian, bisexual, transgender or questioning students?

Yes No

14) Do you have a friend or family member who is gay/lesbian/bisexual/ transgender/questioning?

Yes No

15) Do you think that things need to change at this school to help gay, lesbian, bisexual, transgender and questioning students (and/or teachers and staff) feel safer?

Yes No

16) If yes, then what should happen? (Feel free to write on the back of this survey.)

Thank you for your time and honesty.