Sample school
Student questionnaire
9th Grade
Scan the code with your phone's camera.
On a computer, type this address.
Sample · example data
Step 2 of 6
Fifteen minutes, anonymous, and every voice counts.
Who: advisory or class teacher Time: about 15 minutes per grade, once per semester.
You get: A QR code for each gradeThe anonymous questionnaire, ready on any phoneThe full list of questions for families
Once each semester, students answer 20 anonymous questions on their phones. No names, no logins, no accounts. It takes about 15 minutes.
Sample school
9th Grade
Scan the code with your phone's camera.
On a computer, type this address.
Think about the last month.
No names, no logins. Your answers can't be traced back to you.
At the end, every student sees the names of the adults at school they can turn to, and the 988 Suicide & Crisis Lifeline (available in Spanish).
Your voice matters, because you matter.
What you shared today helps make your school a better place for everyone.
If something you thought about today left you worried, you can talk to Ms. Rivera (school counselor), Mr. Thompson (9th grade advisor) or another adult you trust.
There are also free help lines, answered by people trained to listen, that anyone can call when they need to, for themselves or for someone they are worried about: 988 Suicide & Crisis Lifeline (available in Spanish): 988