Form 0920-0840 Pre-Post School Staff Survey Monkey

LGBTQ Toolkit Demonstration Project Pre-Post School Staff
Survey
School Staff Consent Form
Funded by the Centers for Disease Control and Prevention’s (CDC’s) Division of
Adolescent and School Health, ICF is conducting apilot of an LGBTQ Inclusivity
Toolkit (LGBTQ stands for Lesbian, Gay, Bisexual, Transgender,
Queer/Questioning).Aspart of this effort, we are inviting you to complete a 15minute survey about your attitudes on, and perceptions of, LGTBQ inclusivity in
your school. Please read the following before you complete the survey:
There are no risks to taking the survey as your responses will be kept
confidentialand your name will not appear anywhere on the survey or results. Only
the ICF study team will see your responses. Your fellowstaff
members,administrators, students, and parents/legal guardians or CDC will not be
able to see your responses. All survey results will be reported as a group for
allstaff memberswho complete the survey.The study reports will not identify
individuals by name or contain any information that allows such
identification (e.g., email), and neither schools nor districts will be identified in
any way in the reports. All personally identifiable information (e.g., emails and
names) will be destroyed once the question, concern, or comment has been
addressed.
Your feedback is important to helpunderstand how we can provide useful LGBTQ
inclusivity resources to school districts and schools.We hope you will answer each
question in the survey, but your participation is voluntary and there are no
penalties to you for not participating.If you start taking the survey and decide that
you do not want to finish, you can exit at any time by clicking the exit button in
the top right corner or by closing your browser.
If you choose to take the survey, you will have the option of going to a separate
page at the end that is not connected to your survey responses. On this new page,
you can enter your email address to be entered into a drawing for a $50 gift
card. If you start the survey and decide not to finish, you can still enter the
drawing for the gift card.
If you have any questions, concerns, or comments for the survey, please contact
Lisa Carver, Project Manager at ICF, by email at [email protected].

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* I have read this form and know what the survey is about.
To continue, select “YES, I agree to take this survey.”
YES, I agree to take this survey.
NO, I do not agree to take this survey.

LGBTQ Toolkit Demonstration Project Pre-Post School Staff
Survey
Survey Instructions
Please read each question carefully and select the answer that most closely fits
your opinion. We have provided definitions below of terms that we use throughout
the survey for your reference. We thank you for taking the time to complete this
survey.
Definitions:
Sexual orientationrefers to a person’s sexual and emotional attraction to
another person and the behavior and/or social affiliation or identity that may
result from this attraction (straight, lesbian, gay, bisexual, etc.).
Gender identityrefers to a person's innate, deeply felt psychological
identification as male, female, or something else (e.g., non-binary) which may
or may not correspond to the person's designated sex at birth.
LGBTQ stands for lesbian, gay, bisexual, transgender, or queer/questioning.

LGBTQ Toolkit Demonstration Project Pre-Post School Staff
Survey

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1. Please select your current role:
Instructional Staff
Non-Instructional Staff

LGBTQ Toolkit Demonstration Project Pre-Post School Staff
Survey
2a. Please select your current instructional staff role:
Teacher
Paraprofessional
ESL
Instructional Coach
Other

LGBTQ Toolkit Demonstration Project Pre-Post School Staff
Survey

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2b. Please select your current non-instructional staff role:
District level staff
School office staff
Administration
Student services (School Psychologist, Nurse, Social Worker)
Custodial staff
Cafeteria staff
School Resource Officer
Other

LGBTQ Toolkit Demonstration Project Pre-Post School Staff
Survey
3. How long have you served in your current role?
1 year or less
2-5 years
6-10 years
11 or more years

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4. What is your highest level of education?
High school or equivalent
Associate degree
Some college coursework completed
Bachelor’s degree
Master’s degree
Doctorate or professional degree (e.g., MD or JD)

LGBTQ Toolkit Demonstration Project Pre-Post School Staff
Survey
5. Are you aware that your district is working to implement an LGBTQ inclusivity
toolkit this year?
Yes
No

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6. How much knowledge do you have about the types of resources for students
with LGBTQ identities at your school in the following areas?
No knowledge

A little knowledge

Some knowledge

A great deal of
knowledge

The types of
programs and
activities, such
as clubs, that my
school has for
students with
LGBTQ identities
Social emotional
learning, mental
health, and
counseling
services tailored
to students with
LGBTQ identities
Community
organizations
that support
students with
LGBTQ identities

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7. Please tell us how much you agree or disagree with the following statements:

Disagree

Somewhat agree

Neither agree nor
disagree
Somewhat agree

Agree

I am aware of
policies in place
at my district
that provide
protection for
students with
LGBTQ
identities.
I feel confident
applying my
district’s policies
during incidents
that involve
bullying of
students with
LGBTQ
identities.
I feel confident
applying my
district’s policies
that support
maintaining
safety for
students with
LGBTQ
identities.

LGBTQ Toolkit Demonstration Project Pre-Post School Staff
Survey
8. During the last school year did you attend any professional development
training(s) that addressed the needs of students with LGBTQ identities?
Yes
No

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LGBTQ Toolkit Demonstration Project Pre-Post School Staff
Survey
9. How many hours did you spend at these professional development trainings?

1 to 3 hours
4 to 7 hours
More than 8 hours

10. How often do you use inclusive teaching strategies and materials (e.g., valuing
other cultures and perspectives, using materials that present history from a
different perspective)?
Not applicable (I am not an instructor)
Never
Daily
Weekly
Monthly

11. How often do you…
Never

Daily

Weekly

Monthly

Quarterly/Semester

Participate in or
support any
school-based
LGBTQ-inclusive
activities, such
as awareness
weeks or LGBTQ
history month?

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Never

Daily

Weekly

Monthly

Quarterly/Semester

Participate in or
support a GSA
(Gay Straight
Alliance or
Genders and
Sexualities
Alliance) or
similar schoolbased LGBTQinclusivity club?
Display symbols
or other visuals
to indicate your
classroom or
office is a safe
space?
Share your
pronouns with
students and
other staff to
support the
school becoming
a more inclusive
environment?
Seek out
opportunities
offered by your
school or district
to learn about
LGBTQ identities
and
experiences?
Familiarize
yourself with
school and
communitybased resources
for students
with LGBTQ
identities?

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Never

Daily

Weekly

Monthly

Quarterly/Semester

Engage in
discussions
about LGBTQ
topics with
students or
other staff?
Refer students
to activities,
groups,
partners, or
other resources
either through
the school or
outside of the
school that
support
students with
LGBTQ
identities?

12. What concerns, if any, do you have about engaging in LGBTQ inclusivity
activities like those listed in the previous question? Please select all that apply.

I am concerned about negative feedback from parents/caregivers or students.
I am concerned about negative feedback from other school or district staff.
I am afraid people will think that I identify as LGBTQ (regardless of whether you do
identify as LGBTQ).
I do not have time.
I do not know how.
I do not believe that addressing LGBTQ inclusivity is part of my job.
I do not believe LGBTQ inclusivity is important.
Other

13. How much do you disagree or agree with the following statements?

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Disagree

Somewhat
disagree

Neither disagree
nor disagree

Somewhat agree

Agree

It is important
for students with
LGBTQ identities
and the
experiences of
people with
LGBTQ identities
to be recognized
in school
activities.
It is important
for students with
LGBTQ identities
and the
experiences of
people with
LGBTQ identities
to be recognized
in school
lessons.
It is important
for schools to
work towards
being safe places
for students with
LGBTQ
identities.
It is part of my
job to build a
school
environment in
which students
with LGBTQ
identities feel
safe and
affirmed.
It is the
responsibility of
each individual
who works at a
school to work
towards LGBTQ
inclusivity.

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Disagree

Somewhat
disagree

Neither disagree
nor disagree

Somewhat agree

Agree

It is part of my
job to support
LGBTQ
inclusivity
activities (e.g.,
supporting
clubs, learning
more about
supporting
students with
LGBTQ
identities, being
a safe person
with whom
students can
discuss LGBTQ
issues).

LGBTQ Toolkit Demonstration Project Pre-Post School Staff
Survey
14. In your opinion, how much support is provided to students with LGBTQ
identities in your school?
No support

Little support

Some support

A lot of support

From instructional
school staff
From noninstructional
school staff
From
administrators
From students
From
parents/caregivers,
and the community

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15. During the current school year, how many times have you heard students make
harassing statements to another student or to a school staff related to sexual
orientation?
0 times
1 time
2-3 times
4-5 times
6 or more times

16. During the current school year, how many times have you heard students make
harassing statements to another student or to a school staff related to gender
identity?
0 times
1 time
2-3 times
4-5 times
6 or more times

17. During the past school year, have you intervened in a situation of bullying
related to sexual orientation or gender identity?
Yes
No

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18. If you intervened in an instance of bullying related to sexual orientation or
gender identity, what actions did you take regarding the student who was doing
the bullying? Please select all that apply.
I have not intervened in any instances of bullying
Asked the student who was doing the bullying to stop
Talked with the student who was doing the bullying about the potential harm of the
bullying behavior
Referred the student who was doing the bullying to a school counselor or other
resource staff
Referred the student who was doing the bullying to school administration for
disciplinary action
Referred the student who was doing the bullying to a restorative practice program at
the school (e.g., conflict resolution)
Initiated a restorative practice with the student who was doing the bullying(e.g., peerto-peer mediation)
Contacted a parent or caregiver about the behavior
Other, please specify:

19. If you intervened in an instance of bullying related to sexual orientation or
gender identity, what actions did you take regarding the student who was being
bullied? Please select all that apply.
I have not intervened in any instances of bullying
Referred the student who was being bullied to support services at the school
Referred the student who was being bullied to support services outside of the school
Initiated a restorative practicewith the student who was being bullied (e.g., peer-topeer mediation)
Contacted a parent or caregiver about the behavior
Other, please specify

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20. During the past school year, how many times have you intervened in a
situation where a student was being bullied based on their sexual orientation or
gender identity?
0 times
1 time
2-3 times
4-5 times
6 or more times
I have not experienced a situation where a student is being bullied based on their
sexual orientation or gender identity.

21. During the past school year, how many times have you consulted with school or
district administrators about a student who was being bullied based on their
sexual orientation or gender identity?
0 times
1 time
2-3 times
4-5 times
6 or more times
I have not experienced a situation where a student is being bullied based on their
sexual orientation or gender identity.

22. How comfortable are you intervening in instances of bullying related sexual
orientation or gender identity? If you have intervened in a situation like this, think
back to how you felt during that experience. If you have never intervened in a
situation like this, please try to imagine how you think you might feel.
Very uncomfortable
Somewhat uncomfortable
Neither uncomfortable nor comfortable
Somewhat comfortable
Very comfortable

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Thank you for your input! We really appreciate it!

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