High School Student Retention example

This is an example High School Student Retention survey. This survey includes questions like:

We hope this will help you create your own High School Student Retention survey. We have not tested the validitiy or reliability of this survey. However, you may use this as a starting point to help your own survey instrument. Feel free to change and edit any of our survey templates to help you get started.

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1) What is your birth date? (month and year)
2) What language is usually spoken in your home?
  • English
  • Spanish
  • German
  • French
  • Other:
3) What is your current marital status?
  • Not married
  • Married
4) What was the last grade you completed?
  • Seventh grade
  • Eighth grade
  • Ninth grade
  • Tenth grade
  • Eleventh grade
  • Twelfth grade
5) Why aren't you currently attending high school?
  • Suspended
  • Expelled
  • Dropped out
  • Sick/injured
  • On leave
  • Graduated (Go to Question 10)
  • Pregnant
  • Other:
6) Do you intend to return to school to complete high school?
  • Yes
  • No
  • Don't know
7) What do you feel could have been done to keep you in high school?
8) Are you currently attending a higher education institution?
  • Yes
  • No
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