This document contains a survey about school violence. It asks respondents to rate the extent to which they think school is a source of violence, and to indicate which forms of violence occur most frequently at their school, such as verbal violence, physical violence, property damage, absenteeism, and theft. It also asks respondents if they have personally experienced various forms of violence or threats at school, and if so, who inflicted it, such as classmates, teachers, or gang members.