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Survey Downloads

Attention: The CalSCHLS surveys are copyright protected. Reproduction without permission is prohibited.

Please click on any of the Modules to download. If you are unsure about which modules your district is administering or if you require a copy of any past year survey, please contact us.

CalSCHLS Survey Modules

ELEMENTARY STUDENT MODULES

SECONDARY STUDENT MODULES

STAFF MODULES

PARENT MODULE

Elementary Student Modules

Core

The elementary core survey contains many of the same or similar items as the middle school version so that cross-survey comparisons can be made. For these items, the wording is simpler and developmentally appropriate. Intended for use in grade 5, but also appropriate for grades 3, 4, and 6. Assesses student attitudes, behaviors, and experiences related to:

  • school,
  • academic and social-emotional learning,
  • positive development,
  • overall health and well-being, and
  • provides indicators to support meeting Local Control and Accountability Plan requirements.

Download

Social Emotional Health

The SEHM, developed by researchers at UC Santa Barbara led by Dr. Michael Furlong, assesses youth:

  • empathy,
  • self-efficacy,
  • self-awareness,
  • persistence,
  • emotional self-regulation,
  • behavioral self-control,
  • gratitude,
  • zest, and
  • optimism.

Greatly enhances the value of the CHKS as a strength-based assessment linked to student mental health and well-being, academic success, and career and college readiness.

Download

Cal-Well

Developed by University of California - San Francisco, this module assesses:

  • students’ mental health,
  • the availability of adult and peer social supports,
  • access to mental health services, and
  • openness to utilizing mental health supports and services.

Download

Military-Connected School

Developed in collaboration with the University of Southern California as part of the Building Capacity in Military-Connected Schools Project, this survey assesses the needs of:

  • military-connected students,
  • families, and
  • the schools that serve them.

Download

Secondary Student Modules

Core

The Core Module is aligned with the Local Control and Accountability Plan to assess:

  • school climate and safety,
  • pupil engagement,
  • student supports,
  • bullying, and
  • substance abuse.

Demographic questions help identify the needs of key subgroups, including:

  • racial/ethnic groups,
  • foster youth,
  • economically disadvantaged, and
  • English language learners.

Download

Mini-Core

Developed to better support districts in meeting annual LCAP data-collection needs, the Mini-Core Module contains the questions from the Core Module that are most relevant for measuring the LCAP state priorities. The module may only be administered in the year immediately AFTER the complete Core Module is administered.

Download

School Climate

This module assesses:

  • academic rigor and supports,
  • respectful relationships and cultural sensitivity,
  • the relevance of classroom lessons,
  • student learning motivation and classroom involvement,
  • discipline and enforcement of rules, and
  • the quality of facilities maintenance.

Download

Social Emotional Health

The SEHM, developed by researchers at UC Santa Barbara led by Dr. Michael Furlong, assesses youth:

  • empathy,
  • self-efficacy,
  • self-awareness,
  • persistence,
  • emotional self-regulation,
  • behavioral self-control,
  • gratitude,
  • zest, and
  • optimism.

Greatly enhances the value of the CHKS as a strength-based assessment linked to student mental health and well-being, academic success, and career and college readiness.

Download

Tobacco

This module enhances evaluation of the California State Tobacco Use Prevention Education (TUPE) program by providing a more comprehensive picture of tobacco use and attitudes, including:

  • prevention-related data,
  • peer norms,
  • approval, and
  • behavioral intentions.

Download

  • Middle School Tobacco Module (English) - Coming Soon!
  • Middle School Tobacco Module (Spanish) - Coming Soon!
  • High School Tobacco Module (English) - Coming Soon!
  • High School Tobacco Module (Spanish) - Coming Soon!

Alcohol and Other Drugs (AOD)

Derived from the Youth Risk Behavior Survey (YRBS), the module provides additional data the state recommends for prevention and intervention programs. It is administered along with the Core Module in schools participating in the Biennial Statewide CHKS, funded by the Department of Health Care Services.

Download

Building Healthy Communities

Developed with funding from The California Endowment, assesses and identifies:

  • community conditions,
  • safety,
  • supports for youth, and
  • youth community-engagement

in order to foster broader school-community collaboration.

Download

  • Middle/High School Building Health Communities Module (English) - Coming Soon!
  • Middle/High School Building Health Communities (Spanish) - Coming Soon!

Cal-Well

Developed by University of California - San Francisco, this module assesses:

  • students’ mental health,
  • the availability of adult and peer social supports,
  • access to mental health services, and
  • openness to utilizing mental health supports and services.

Download

Closing the Achievement Gap

Aligned with the California School Staff Survey (CSSS), short 10-question supplementary module developed to assess student perceptions concerning:

  • extra help with school work,
  • academic rigor,
  • the cultural relevance of lessons,
  • equity in opportunities, and
  • fair and respectful treatment of all students.

Many of these questions are also contained in the supplemental School Climate Module.

Download

District Afterschool Module

Designed to help districts determine the need for, and planning of, afterschool programs by assessing:

  • how students spend their time after school,
  • their perception about a school’s existing afterschool program,
  • if they attend an afterschool program or would like to attend, and
  • perceived neighborhood safety.

Download

  • Middle School District Afterschool Module (English) - Coming Soon!
  • Middle School District Afterschool Module (Spanish) - Coming Soon!
  • High School District Afterschool Module (English) - Coming Soon!
  • High School District Afterschool Module (Spanish) - Coming Soon!

Drug-Free Communities

Designed for the use of Drug Free Communities (DFC) and Sober Truth on Preventing Underage Drinking Act (STOP Act) grantees. Administration along with the CHKS Core and AOD Modules has been approved for meeting all the requirements for grantee data reporting to Center for Substance Abuse Prevention/Office of National Drug Control Policy.

Download

Gang Risk Awareness

Developed in conjunction with Sonoma County and the City of Santa Rosa, using questions recommended by the US Office of Juvenile Justice and Delinquency Prevention, to assess:

  • gang involvement,
  • perceptions,
  • knowledge,
  • attitudes,
  • risk factors, and
  • related and alternative activities among youth grades 5 and up.

Download

Gender Identity- & Sexual Orientation-Based Harassment

Assesses students’ perceptions of harassment experiences on school campus related to gender identity and sexual orientation, specifically those of students who identify as, or are perceived to be, lesbian, gay, bisexual, transgender, questioning, or gender nonconforming.

Items include:

  • bullying frequency,
  • negative attitudes and language expressed by peers and school staff,
  • pro-bullying attitudes,
  • peer and staff intervening behaviors,
  • willingness to seek help, and
  • availability of school-based prevention and intervention supports.

Download

  • Middle/High School Gender Identity & Sexual Orientation-Based Harassment Module (English) - Coming Soon!
  • Middle/High School Gender Identity & Sexual Orientation-Based Harassment Module (Spanish) - Coming Soon!

Military-Connected School

The student module, as well as comparable parent and survey modules, were developed in collaboration with the University of Southern California as part of the Building Capacity in Military-Connected Schools Project, to meet the needs of:

  • military-connected students,
  • families, and
  • the schools that serve them.

Download

Physical Health & Nutrition

Derived from the Youth Risk Behavior Survey, questions provide detailed information on:

  • physical activity in and out of school,
  • body image, and behaviors related to weight loss or maintenance,
  • physical risks associated with sports and motor vehicles,
  • general health, including doctor visits, and
  • how these factors relate to school performance.

Download

Reslience & Youth Development

Expands upon the Core Module to measure environmental and individual protective factors in the lives of youth that help promote success:

  • caring adult relationships,
  • high expectations, and
  • meaningful participation

in the home, community, and peer groups. It also assesses six personal social-emotional skills or resilience strengths:

  • communication and Collaboration,
  • empathy,
  • self-efficacy,
  • self-awareness,
  • problem-solving, and
  • goals and aspirations.

Download

Safety & Violence

Provides additional data related to safety and violence in both the school and community, enhancing the value of the Youth Risk Behavior Survey.

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Sexual Behavior

Derived from the Youth Risk Behavior Survey (YRBS), assesses:

  • sexual experience,
  • attitudes about sexual behavior,
  • pregnancy history, and
  • HIV-related risk behaviors,

including number of partners (a main HIV risk factor), perception of peer behavioral norms, use of contraception, alcohol and other drug use before sexual intercourse, family discussion, and exposure to HIV/AIDS education.

Download

Staff Modules

California School Staff Survey

Assesses the perceptions and experiences of K-12 teachers, administrators, and other school personnel (intended for all grades) in four main areas:

  • Comparison data to the questions and constructs asked students in the CHKS Core and supplementary School Climate Modules.
  • The learning and working environment, including staff relationships (collegiality), organizational expectations and norms, and meaningful participation in decisions.
  • The scope and nature of student supports, programs, and services (e.g., discipline, counseling, health, and prevention).
  • Parent supports and involvement.

The results are intended to help:

  • address the problem of low teacher recruitment, morale, and retention;
  • guide professional development and school improvement efforts; and
  • determine the degree to which staff perceptions align with the attitudes and experiences of students and parents and whether the school is meeting their needs.

Download

Military-Connected School

Provides information from staff about their school and the educational, developmental, and health-related needs of their students who are connected to the military. Along with the companion student and parent modules, it is designed to help establish sustainable military-friendly school climates that improve social, behavioral, and academic outcomes among this population.

Download

  • Staff Military-Connected School Module - Coming Soon!

Special Education Supports (SESM)

Developed with the assistance of an Advisory Group consisting of CDE special education staff and representatives of the California Strategic Action Plan Leadership Team. It addresses the perceptions and concerns of staff who work with students with IEPs, effectively meeting the needs of:

  • special education students and staff;
  • the integration of general and special education and effective service delivery; and
  • recruiting, training, and retaining special education staff.

Download

  • Staff Special Education Supports Module - Coming Soon!

Parent Modules

California School Parent Survey

Designed to promote greater parent involvement, confidentially obtaining parent perceptions about:

  • the school’s learning environment,
  • overall climate,
  • student supports,
  • parent outreach and involvement efforts (e.g., how welcoming, communicative), and
  • provide data on the scope and nature of parent involvement at the school (relationships, activities) and in their children’s education in general.

Download

  • California School Parent Survey - Coming Soon!

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