0920-0840 Pre=Post School Staff Survey

Form Approved

OMB No. 0920-0840

Expiration Date: 07/31/2024

LGBTQ Inclusivity Toolkit Demonstration Project 

Pre-Post School Staff Survey

Public reporting burden of this collection of information is estimated to average 15 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a current valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to CDC/ATSDR Information Collection Review Office, 1600 Clifton Road NE, MS D-74, Atlanta, Georgia 30333; ATTN: PRA (0920-0840).

LGBTQ Inclusivity Toolkit Demonstration Project 

Pre-Post School Staff Survey

Respondents will first review informed consent and decide whether they choose to continue and take the survey or not continue and exit the 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 orientation refers 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 identity refers 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.

1. Please select your current role:

• Instructional Staff (skip to instructional staff list)

• Non-Instructional Staff (skip to non-instructional staff list)

*Skip to either Question 2 based on response to Question 1

Please select your current instructional staff role. Select multiple.	Please select your current non-instructional staff role. Select multiple.
Teacher Paraprofessional ESL Teacher Instructional Coach Other (open text box)	District level staff School office staff Administration Student services (School Psychologist, Nurse, Social Worker) Custodial staff Cafeteria staff School Resource Officer Other (open text box)

3. How long have you served in your current role?

• 1 year or less

• 2-5 years

• 6-10 years

• 11 or more years

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)

5. Are you aware that your district is working to implement an LGBTQ inclusivity toolkit this year?

• Yes

• No

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

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

8. During the last school year did you attend any professional development training(s) that addressed the needs of students with LGBTQ identities?

• Yes (skip logic to question 9)

• No, (skip logic to question 10)
  
  

9. How many hours did you spend at these professional development trainings?

• 1 to 3 hours

• 3 to 6 hours

• More than 6 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

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?
Participate in or support a GSA (Gay Straight Alliance or Genders and Sexualities Alliance) or similar school-based LGBTQ-inclusivity 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 community-based resources for students with LGBTQ identities?
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 (open text box)

How much do you disagree or agree with the following statements?
	Disagree	Somewhat disagree	Neither disagree nor agree	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.
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).

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

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, have 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 (skip logic to question 18)

• No (skip logic to question 22)

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., peer-to-peer mediation)

• Contacted 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 practice with the student who was being bullied (e.g., peer-to-peer mediation)

• Contacted parent or caregiver about the behavior

• Other, please specify: ___________

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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