Q01
Message
All templatesEducation & Academic
Student School Climate and Belonging Survey
Measures how safe, respected, and connected students feel day-to-day — covering bullying exposure, fairness of discipline, and adult support — with an AI follow-up interview that digs into the real story behind students' lowest-rated experience instead of just the number they picked.
Sample questions
A preview of what’s in the template. Every question is editable before you launch.
13 questions · ~7 min
Q02
Opinion ScaleRequired
Thinking about the last 30 days, how safe did you feel while at school (hallways, classrooms, cafeteria, restrooms, etc.)?
Scale: 1 – 5
Min:Not safe at allMax:Completely safe
Q03
Opinion ScaleRequired
How much do you feel like you truly belong at this school?
Scale: 1 – 5
Min:Not at allMax:Completely
Q04
MatrixRequired
How much do you agree with each statement about your school?
6 rows × 5 columns
- Teachers here treat students with respect
- Adults at this school would help me if I had a problem
- Discipline is applied fairly, regardless of who a student is
- Students of different backgrounds are treated equally here
- I know how to report a concern or complaint
- +1 more
Columns: Strongly disagree · Disagree · Neutral · Agree · Strongly agree
Q05
Multiple ChoiceRequired
In the last 30 days, how often did you personally see another student being bullied, excluded, or harassed?
- Never
- Once
- A few times
- About weekly
- Almost daily
Q06
Multiple ChoiceRequired
In the last 30 days, how often did YOU experience bullying, harassment, or exclusion at school?
- Never
- Once
- A few times
- About weekly
- Almost daily
Q07
Rating Scale
If you or someone you know reported a problem to school staff in the past year, how well was it handled?
Range: 1 – 5
Min:Very poorlyMax:Very well
Q08
Best–Worst Trade-off (MaxDiff)Required
Which of these would do the most, and the least, to improve how school feels for students?
- More consistent and fair discipline
- Stronger enforcement against bullying
- More adult mentoring and support
- More mental health resources on campus
- Better communication about rules and events
- More inclusion for different backgrounds and identities
- More student voice in school decisions
Pick best & worst per setBest:Would most improve school climateWorst:Would least improve school climate
Q09
AI Interview
Anchor on whichever the student rated lowest between safety, belonging, or how a reported problem was handled, and ask them to walk through a specific recent moment that shaped that rating — what happened, who was involved, and what an adult did or didn't do. If they reported witnessing or experiencing bullying, probe whether it was reported, what happened next, and whether they'd report again. If everything scored high, ask what one thing could still make school feel even better.
Q10
Message
Just a couple of quick background questions to help us look at patterns fairly — feel free to skip any of these.
Q11
Multiple Choice
What grade are you in?
- 6th
- 7th
- 8th
- 9th
- 10th
- 11th
- 12th
- Other
- Prefer not to say
Q12
Multiple Choice
How do you describe your gender?
- Girl
- Boy
- Non-binary
- Prefer not to say
Q13
Message
Thank you for your honesty — this goes directly into a report the school uses to make campus climate and safety improvements. Nothing you shared here is linked to your name.
What’s included
AI follow-ups
Adaptive probes on open-ended answers that pull out detail a static form would miss.
Attention checks
Built-in safeguards against rushed answers and low-quality respondents.
AI-drafted copy
Wording, ordering, and branching written by the AI — tuned to your research goal.
Auto report
Themes, quotes, and a plain-English summary write themselves once responses come in.
How it compares
We reviewed the closest templates from other survey tools. Here’s what they do well — and where this template goes further.
Why this template
- Goes beyond a single overall score by using an AI follow-up interview that anchors on whichever area (safety, belonging, or adult support) the student rated lowest and asks for the real story behind it
- Covers bullying exposure (both witnessed and personally experienced), fairness/effectiveness of discipline reporting, and adult support in one flow, plus a matrix of agreement statements and a max-diff prioritization question
- Frames questions conversationally with chat-message intros that build trust and explain confidentiality before asking about sensitive topics like bullying
- Collects grade and gender as background context so schools can look at patterns fairly, then rolls everything into an auto-generated report
Jotform
School Climate Survey Form TemplateA ready-to-field static form template built on Jotform's drag-and-drop builder, with standard customization and integration options. It covers general school climate topics but relies on fixed question sets rather than adaptive follow-up. Good for quick deployment if depth on any single low-rated area isn't a priority.
What it does well
- Easy to customize and embed via Jotform's widely-used form builder
- Likely supports standard integrations (email, spreadsheets, notifications)
- Free-tier accessible template for quick setup
Where it falls short
- Static question set with no adaptive AI probing into a student's lowest-rated experience
- No mention of voice interview options or guided screen-share tasks
- No published methodology or prompt transparency for how responses are scored or interpreted
SurveyMonkey
School Climate Survey TemplateA template from a major survey platform with strong analytics and reporting features. It's designed for broad distribution and benchmarking rather than uncovering individual student narratives. Question flow is fixed once launched, unlike an interview that adapts per respondent.
What it does well
- Backed by SurveyMonkey's established survey methodology and analytics dashboard
- Likely offers built-in benchmarking against other survey data
- Simple to launch and share widely
Where it falls short
- No adaptive AI follow-up interview to dig into a student's specific lowest-rated concern
- No voice AI interview or guided task with screen share option
- No transparent, inspectable prompts for how any AI-assisted analysis works
SurveySparrow
Free School Climate Survey Template | For StudentsThis template uses SurveySparrow's conversational, chat-style UI to make the survey feel less clinical, which suits student audiences. However, the conversational feel is a scripted, pre-set flow rather than a true adaptive interview that reacts to each answer. It's a free, fielding-ready template.
What it does well
- Conversational chat-style interface designed to feel approachable for students
- Free template, quick to launch
- Likely mobile-friendly given SurveySparrow's product focus
Where it falls short
- Conversational styling is not the same as adaptive AI follow-up questioning based on a student's specific low score
- No voice AI interview capability
- No automated per-response quality scoring or transparent prompt methodology
Typeform
School Climate Survey Form TemplateTypeform's template offers its signature clean, one-question-at-a-time visual design, which can improve completion rates. Like other entries here, it's a fixed-logic form rather than an interview that adapts follow-up questions based on which topic a student rated worst. It's ready to field as-is.
What it does well
- Polished, one-question-at-a-time UI known for strong completion rates
- Straightforward customization within Typeform's builder
- Good visual design for student-facing surveys
Where it falls short
- No adaptive AI interview to probe deeper into a student's lowest-rated area
- No voice interview or guided screen-share task option
- No published prompt transparency or automated quality scoring of responses
Frequently asked questions
What questions are in the “Student School Climate and Belonging Survey” template?
The template includes 13 ready-to-use questions, starting with: “Thanks for taking a few minutes to tell us what school actually feels like day-to-day. Your answers are anonymous and he…” · “Thinking about the last 30 days, how safe did you feel while at school (hallways, classrooms, cafeteria, restrooms, etc.…” · “How much do you feel like you truly belong at this school?”. The full set is previewed above, and every question is editable.
How long does this survey take to complete?
Respondents typically finish the 13 questions in about 7 minutes.
Can I customize this template?
Yes — every question, answer option, and the ordering is editable before you launch. You can add or remove questions, or ask the AI editor to rework the survey around your research goal.
Is this template free to use?
Yes. Open it in the editor and start customizing right away — no account required to try it, and the free plan covers launching your survey.
Ready to launch?
Open this template in the editor. Every part is yours to change before the first respondent sees it.
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