This form helps schools assess the quality of their socio-emotional and physical environment. Your honest responses will guide improvements that support student and staff well-being.
Name of School/Campus
Role of Person Completing Form
Evaluation Date
Grade Levels Offered
Approximate Total Enrolment
Evaluate the physical conditions that affect safety and accessibility across the campus.
Are all buildings, playgrounds and sports areas inspected at least once per academic year by qualified personnel?
Describe inspection gaps and any known hazards:
Overall condition of classrooms, corridors and stairs
Excellent
Good
Fair
Poor
Needs immediate attention
Specify structural or maintenance issues observed:
List urgent repairs needed:
Which safety features are present and functional school-wide? (tick all that apply)
Fire extinguishers & alarms
Emergency lighting
First-aid stations
AED devices
Wheelchair ramps & lifts
Handrails on stairs
Non-slip flooring
Secure roof & ceiling
CCTV in common areas
Visitor management system
Rate adequacy of natural and artificial lighting in learning spaces
Very inadequate
Inadequate
Neutral
Adequate
Very adequate
Has the school conducted a risk assessment for natural hazards relevant to the region (earthquake, flood, storm, etc.)?
Summarise key mitigation measures in place:
Explain why and when assessment is planned:
I confirm that hazardous materials (lab chemicals, cleaning agents) are stored securely and labelled.
Describe any recent physical safety incidents (last 12 months) and actions taken:
Assess how safe, included, and supported students and staff feel within the school community.
Indicate the level of agreement with the following statements
Scale: 1 = Strongly disagree, 2 = Disagree, 3 = Neutral, 4 = Agree, 5 = Strongly agree
Students feel comfortable seeking help from counsellors or teachers | |
Staff feel comfortable seeking help from leadership | |
Bullying is addressed promptly and effectively | |
Cultural and linguistic diversity are celebrated | |
Discipline policies are fair and restorative |
How often does the school organise socio-emotional learning (SEL) or well-being activities?
Daily
Weekly
Monthly
Once per term
Rarely
Never
Is peer-support or buddy programming available for new or struggling students?
Briefly describe the programme structure:
Which groups or spaces exist to foster inclusion? (tick all that apply)
Student council/voice committees
Clubs for diverse interests
Safe-space or quiet rooms
LGBTQ+ alliance or similar
Parent–teacher dialogue forums
Alumni mentoring network
Other
Overall, how do students feel about coming to school?
Share any recent feedback from students or parents that highlights emotional safety concerns or successes:
Provide data and insights on behaviours that undermine a safe climate.
Does the school have a written anti-bullying policy that is shared with students and families?
Summarise key components or unique features of the policy:
Explain why not and when development is expected:
Number of reported bullying incidents in the last academic year
Number of substantiated incidents after investigation
Most common type of bullying observed
Verbal
Social exclusion
Cyber/digital
Physical
Property damage
Other/prefer not to say
Are anonymous reporting channels (box, app, email) available to students?
Staff confidence in consistently applying anti-bullying procedures
Very low
Low
Moderate
High
Very high
Prevention measures in place (tick all that apply)
Classroom SEL curriculum
Staff professional development
Student-led campaigns
Parent awareness sessions
Collaboration with transport teams
Incident tracking software
Restorative practices training
Describe any notable trends or hotspots (e.g., locations, year groups) and interventions tried:
Evaluate readiness for crises that could affect health, safety or continuity of learning.
Status of the school's emergency operations/response plan
Not developed
In draft
Approved but not tested
Tested in table-top exercise
Tested in full-scale drill
Which drills are conducted at least once per year? (tick all that apply)
Fire evacuation
Lockdown/lock-out
Shelter-in-place for severe weather
Earthquake drop-cover-hold
Tsunami/flood evacuation
Medical emergency response
Active threat simulation
Cyber incident response
Are staff trained to use first-aid and AED equipment?
Approximate percentage of staff certified:
Average time to evacuate the whole school during last drill
Does the school maintain an up-to-date communication tree (phone, SMS, app) for parents and staff?
Outline any challenges faced during recent drills and improvements planned:
Assess online behaviours, privacy, and digital well-being.
Are students educated about digital citizenship, privacy, and online etiquette?
Describe curriculum or activities used:
School's policy on student device use
Banned during school hours
Allowed only in designated zones
Allowed with teacher discretion
Open use with filtering software
No formal policy
Is cyber-bullying explicitly addressed in the behaviour code with clear consequences?
Which technical safeguards exist on school networks? (tick all that apply)
Content filtering
Firewall
Device management (MDM)
Network segmentation
Monitoring/audit logs
Two-factor authentication for staff
Encrypted backups
Report any recent cyber incidents (phishing, data breach, inappropriate posts) and response actions:
Evaluate environmental health and well-being services.
Are hand-washing facilities adequate, clean and stocked with soap and water or sanitiser?
Specify shortages or maintenance issues:
Frequency of cleaning high-touch surfaces (door handles, desks)
More than once daily
Once daily
Several times per week
Weekly
Less than weekly
Unknown
Does the school have a dedicated health professional (nurse, counsellor, psychologist) on site at least part-time?
Which wellness programmes or facilities are available? (tick all that apply)
Daily morning exercise
Healthy canteen options
Vegetarian/allergy-aware meals
Mental health first-aiders
Quiet/sensory rooms
Outdoor learning gardens
Parent nutrition workshops
Air quality and ventilation in classrooms
Very poor
Poor
Acceptable
Good
Excellent
Provide details of any health-related complaints (odours, mould, allergies) and remediation steps:
Assess safety for students and staff while commuting or travelling to events.
Primary mode of student transport
Private vehicle
School-contracted bus
Public transport
Walking/cycling
Mixed modes
Are drivers of school-contracted vehicles screened for licences, training and background checks?
Are pedestrian crossings, signage and speed controls present near the school?
Describe missing infrastructure and any incidents:
Number of transport-related accidents involving students in the last academic year
Outline any concerns regarding vehicle condition, overcrowding or student behaviour during transit:
Evaluate governance, accountability and culture of improvement.
Does the school have a standing safety committee that meets at least once per term?
List main achievements or current priorities:
Which stakeholders are represented on the safety committee? (tick all that apply)
Principal/leadership
Teachers
Support staff
Students
Parents
Local emergency services
External safety consultants
Frequency of safety-related professional development for staff
More than yearly
Yearly
Bi-annually
Only when incidents occur
Rarely/never
Are safety KPIs (Key Performance Indicators) reported to the school governing board?
Staff perception of leadership commitment to safety
Very low
Low
Moderate
High
Very high
Describe any recent improvements or innovative practices introduced as a result of climate & safety evaluations:
Provide any additional comments or ideas that could help the school become a safer, more supportive and thriving environment.
What is the single most important action the school should prioritise to enhance climate and safety?
Rank the following areas in order of urgency for improvement (1 = most urgent)
Physical infrastructure | |
Emotional support services | |
Anti-bullying measures | |
Emergency preparedness | |
Digital/cyber safety | |
Health & hygiene | |
Transport safety | |
Policy & training |
Attach any supporting documents (photos, incident reports, policies)
I consent to the school using this feedback for continuous improvement while maintaining anonymity where appropriate.
Analysis for School Climate & Safety Evaluation Form
Important Note: This analysis provides strategic insights to help you get the most from your form's submission data for powerful follow-up actions and better outcomes. Please remove this content before publishing the form to the public.
The School Climate & Safety Evaluation Form is a best-practice instrument that moves well beyond compliance checklists to surface the lived experience of students, staff and families. By blending quantitative scales, conditional follow-ups and open comment fields, it captures both hard metrics (inspection dates, incident counts) and soft indicators (emotion ratings, perception of fairness) that predict whether a campus is merely “safe” or genuinely “thriving.” The structure mirrors a whole-school risk-management cycle: identify hazards → assess frequency/impact → record controls → review effectiveness, which gives safety committees an immediate action roadmap.
A second major strength is the form’s inclusive data lens. Questions explicitly reference cultural diversity, LGBTQ+ alliances, restorative discipline and digital citizenship—signals that the school values psychological safety as much as physical safety. This widens the traditional “security” frame to encompass cyber-bullying, indoor air quality and even school-bus driver screening, aligning with contemporary accreditation standards (CIS, WASC, COBIS) and UN SDG 4 targets on well-being.
From a user-experience angle, the progressive disclosure logic (follow-ups only appear when relevant) keeps cognitive load low. A respondent who answers “Yes” to AED training immediately sees a certification-percentage box, whereas a “No” surfaces a concise improvement prompt. This conditional branching reduces survey fatigue and increases completion rates while still collecting rich qualitative data for continuous improvement.
This mandatory field is the lynchpin for multi-campus districts or accreditation databases. It prevents data silos by ensuring every downstream analysis—heat-maps of bullying hotspots, longitudinal infrastructure ratings, regional emergency-preparedness benchmarks—can be disaggregated by site. Because the label is open-text rather than a dropdown, it accommodates international spelling variations and new campuses that may not yet exist in master lists.
Purpose clarity is high: respondents instantly recognise the request as routine administrative metadata. There is no privacy friction because the school name is already public information, yet it anchors all anonymised datasets for research or statutory reporting.
This yes/no gateway reflects a core legal duty-of-care requirement in most jurisdictions. By forcing a binary choice, the form eliminates the ambiguity that often plagues inspection logs (“mostly inspected,” “almost yearly”). The subsequent open text for “No” responses captures critical narrative detail—an essential audit trail for insurers, school boards and, in tragic cases, coronial inquiries.
Design-wise, the follow-up is placed immediately underneath, maintaining conversational flow and reducing the temptation to skip the justification. Data quality is enhanced because the respondent must articulate specific hazards, creating a prioritised work-order list for facility managers.
Mandatory status here is justified by research linking policy visibility to bullying prevalence: schools that merely have a policy see no statistical reduction in victimisation, whereas schools that communicate the policy see up to 25% drops in repeat incidents. The form therefore treats policy existence + dissemination as the minimum viable safety control.
The follow-up request to “summarise key components” deters a simple copy-paste of the entire policy while still allowing external evaluators to judge whether restorative practices, protected-class definitions and reporting pathways meet evidence-based standards. This design choice balances brevity with accountability.
Privacy considerations are minimal because policies are public documents; however, the open text could inadvertently reveal identifiable student cases. The form mitigates this risk by instructing respondents to “summarise” rather than paste incident logs.
Collecting both quantitative (incident counts, evacuation times) and qualitative (emotion ratings, narrative feedback) data enables triangulation. For example, a low numeric bullying count paired with low staff-confidence ratings might indicate under-reporting rather than genuine safety, prompting anonymous survey follow-ups with students. The mix also supports machine-learning anomaly detection: sudden spikes in “Urgent repairs needed” selections can trigger automatic flagging to regional maintenance dashboards.
Privacy is addressed through optional anonymity toggles and a final consent checkbox, yet the form could be strengthened by stating retention periods (e.g., “responses retained for 7 years for audit purposes”) to meet GDPR FERPA alignment.
At roughly 60 questions, the form appears lengthy; however, the conditional logic typically reduces the visible question count by 30–40% for any single respondent. Progress indicators and section headers (“Physical Safety,” “Digital Safety”) provide mental milestones, while emotive language (“thriving,” “celebrate diversity”) sustains intrinsic motivation. Nonetheless, mobile optimisation is critical because teachers and safety officers often complete surveys on phones during breaks. Large matrix blocks should collapse into card-style swipe questions to minimise horizontal scrolling.
Abandonment risk is highest under the Bullying & Harassment section where numeric counts are requested. Autocomplete suggestions (e.g., “≈ 12 incidents last year”) or tooltips explaining data sources (“Use Behaviour Incident Register total”) can improve accuracy without increasing burden.
The form excels at aligning regulatory requirements with holistic well-being indicators, positioning the school to move from reactive incident management to proactive culture building. Its strengths include comprehensive coverage of modern risk vectors (cyber, transport, indoor air), intelligent conditional logic and stakeholder-inclusive language. Areas for enhancement include explicit data-retention statements, mobile-first matrix rendering and optional anonymity assurances for sensitive narrative fields. With minor UX refinements, this instrument can serve as a regional benchmark for “thriving” rather than merely “functioning” learning environments.
Mandatory Question Analysis for School Climate & Safety Evaluation Form
Important Note: This analysis provides strategic insights to help you get the most from your form's submission data for powerful follow-up actions and better outcomes. Please remove this content before publishing the form to the public.
Question: Name of School/Campus
Mandatory Justification: This field is the primary key that links every subsequent response to a physical site, enabling multi-campus districts, accreditation agencies and insurers to disaggregate results by location. Without it, aggregated data becomes unusable for targeted interventions, resource allocation or statutory reporting. Because the school name is already public information, making it mandatory introduces no privacy risk while guaranteeing data integrity.
Question: Are all buildings, playgrounds and sports areas inspected at least once per academic year by qualified personnel?
Mandatory Justification: Annual inspections are a legal prerequisite for public-liability insurance and, in many jurisdictions, a criminal-compliance duty under occupational health & safety law. Forcing a yes/no decision prevents the common survey evasion of “partially inspected” and immediately surfaces critical gaps through the follow-up text box. This protects both the school (audit trail) and its community (hazard remediation).
Question: Does the school have a written anti-bullying policy that is shared with students and families?
Mandatory Justification: Empirical studies show that policy visibility—not merely existence—correlates with statistically significant reductions in bullying victimisation. Making this question mandatory signals to external reviewers that the school treats policy dissemination as a non-negotiable safety control equivalent to fire drills. The follow-up summary provides accreditors with rapid assurance that restorative practices, protected-class definitions and reporting pathways meet evidence-based standards without requiring full document uploads.
The current triad of mandatory questions strikes an optimal balance between data criticality and respondent burden. By limiting compulsion to (1) site identification, (2) physical-inspection compliance and (3) policy dissemination, the form collects the minimum dataset required for legal defensibility and benchmarking while leaving richer diagnostic fields optional. This approach respects the reality that some respondents (e.g., substitute teachers or parent volunteers) may lack precise incident counts or evacuation times, thereby reducing abandonment rates.
Going forward, consider making two additional fields conditionally mandatory: (a) if the respondent indicates “Needs immediate attention” for infrastructure, require at least one keyword in the follow-up text to prevent empty hazard reports; (b) if the bullying incident count is non-zero, mandate a numeric entry for substantiated incidents to ensure data consistency. Implement soft validation (warning banners rather than hard blocks) to maintain goodwill while nudging towards higher data quality. Finally, display a dynamic progress bar that recalculates when conditional questions appear, so users always know how many mandatory items remain—an evidence-based tactic to reduce dropout on longer evaluations.
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