PBIS Survey

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PBIS Survey

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LAST Name of Homeroom Teacher

PACK Time Rating of Homeroom Teacher

(How well does your HR Teacher utilize PACK Time each morning to teach PACK expectations?)

Teacher RARELY ever uses PACK Time effectively (mostly sits at desk while students chat)

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5

Teacher NEARLY ALWAYS uses PACK Time to teach expectations.

Clear selection

LAST Name of ELA Teacher

PBIS Rating of ELA Teacher

Teacher RARELY ever uses PACK $ to reward students

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5

Teacher NEARLY ALWAYS uses PACK $ to reward students.

Clear selection

LAST Name of MATH Teacher

PBIS Rating of MATH Teacher

Teacher RARELY ever uses PACK $ to reward students

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3

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5

Teacher NEARLY ALWAYS uses PACK $ to reward students.

Clear selection

LAST Name of SCIENCE Teacher

PBIS Rating of SCIENCE Teacher

Teacher RARELY ever uses PACK $ to reward students

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5

Teacher NEARLY ALWAYS uses PACK $ to reward students.

Clear selection

LAST Name of SOCIAL STUDIES Teacher

PBIS Rating of SOCIAL STUDIES Teacher

Teacher RARELY ever uses PACK $ to reward students

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5

Teacher NEARLY ALWAYS uses PACK $ to reward students.

Clear selection

LAST Name of CONNECTIONS A-DAY Teacher

PBIS Rating of CONNECTIONS A-DAY Teacher

Teacher RARELY ever uses PACK $ to reward students

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5

Teacher NEARLY ALWAYS uses PACK $ to reward students.

Clear selection

LAST Name of CONNECTIONS B-DAY Teacher

PBIS Rating of CONNECTIONS B-DAY Teacher

Teacher RARELY ever uses PACK $ to reward students

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5

Teacher NEARLY ALWAYS uses PACK $ to reward students.

Clear selection

Event Rating: 1st PACK Social

NOT very fun, don't do it again

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5

One of the BEST events ever, please plan another one soon.

Clear selection

Event Rating: Pep-Rally

NOT very fun, don't do it again

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5

One of the BEST events ever, please plan another one soon.

Clear selection

Event Rating: 2nd PACK Social (3-on-3 basketball)

NOT very fun, don't do it again

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5

One of the BEST events ever, please plan another one soon.

Clear selection

Event Rating: GLOW Parties

(hasn't happened yet, so rate based on expectations)

NOT very fun, don't do it again

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5

One of the BEST events ever, please plan another one soon.

Clear selection

Additional PBIS Feedback

(What else would you like to share? Include any suggestions.)

In P.A.C.K., what does the "P" stand for?

In P.A.C.K., what does the "A" stand for?

In P.A.C.K., what does the "C" stand for?

In P.A.C.K., what does the "K" stand for?

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