Questionnaire with indicators

You can also download and use this sample questionnaire as a Word document or PDF file.

Please tick the group(s) below indicating your involvement with the school:

▢ Teacher

▢ Teaching assistant

▢ Other member of staff

▢ Student

▢ Parent/Carer

▢ Governor

▢ Other (specify): . . . . . . . . . . . . .

Dimension A: Creating inclusive cultures

Please put a tick in the box that indicates your opinion.

A.1 Building community

A.1.1 Everyone is made to feel welcome.

▢ definitely agree    ▢ agree to some extent    ▢ disagree    ▢ need more information

A.1.2 Students help each other.

▢ definitely agree    ▢ agree to some extent    ▢ disagree    ▢ need more information

A.1.3 Staff collaborate with each other.

▢ definitely agree    ▢ agree to some extent    ▢ disagree    ▢ need more information

A.1.4 Staff and students treat one another with respect.

▢ definitely agree    ▢ agree to some extent    ▢ disagree    ▢ need more information

A.1.5 There is a partnership between staff and parents/carers.

▢ definitely agree    ▢ agree to some extent    ▢ disagree    ▢ need more information

A.1.6 Staff and governors work well together.

▢ definitely agree    ▢ agree to some extent    ▢ disagree    ▢ need more information

A.1.7 All local communities are involved in the school.

▢ definitely agree    ▢ agree to some extent   ▢ disagree    ▢ need more information

A.2 Establishing inclusive values

A.2.1 There are high expectations for all students.

▢ definitely agree    ▢ agree to some extent    ▢ disagree    ▢ need more information

A.2.2 Staff, governors, students and parents/carers share a philosophy of inclusion.

▢ definitely agree    ▢ agree to some extent    ▢ disagree    ▢ need more information

A.2.3 Students are equally valued.

▢ definitely agree    ▢ agree to some extent    ▢ disagree    ▢ need more information

A.2.4 Staff and students treat one another as human beings as well as occupants of a ‘role’.

▢ definitely agree    ▢ agree to some extent    ▢ disagree    ▢ need more information

A.2.5 Staff seek to remove barriers to learning and participation in all aspects of the school.

▢ definitely agree    ▢ agree to some extent    ▢ disagree    ▢ need more information

A.2.6 The school strives to minimise all forms of discrimination.

▢ definitely agree    ▢ agree to some extent    ▢ disagree    ▢ need more information

Dimension B: Producing inclusive policies

B.1 Developing the school for all

B.1.1 Staff appointments and promotions are fair.

▢ definitely agree    ▢ agree to some extent    ▢ disagree    ▢ need more information

B.1.2 All new staff are helped to settle into the school.

▢ definitely agree    ▢ agree to some extent    ▢ disagree    ▢ need more information

B.1.3 The school seeks to admit all students from its locality.

▢ definitely agree    ▢ agree to some extent    ▢ disagree    ▢ need more information

B.1.4 The school makes its buildings physically accessible to all people.

▢ definitely agree    ▢ agree to some extent    ▢ disagree    ▢ need more information

B.1.5 All new students are helped to settle into the school.

▢ definitely agree    ▢ agree to some extent    ▢ disagree    ▢ need more information

B.1.6 The school arranges teaching groups so that all students are valued.

▢ definitely agree    ▢ agree to some extent    ▢ disagree    ▢ need more information

B. 2 Organising support for diversity

B.2.1 All forms of support are coordinated.

▢ definitely agree    ▢ agree to some extent    ▢ disagree    ▢ need more information

B.2.2 Staff development activities help staff to respond to student diversity.

▢ definitely agree    ▢ agree to some extent    ▢ disagree    ▢ need more information

B.2.3 ‘Special educational needs’ policies are inclusion policies.

▢ definitely agree    ▢ agree to some extent    ▢ disagree    ▢ need more information

B.2.4 The Special Educational Needs Code of Practice is used to reduce the barriers to learning and participation of all students.

▢ definitely agree    ▢ agree to some extent    ▢ disagree    ▢ need more information

B.2.5 Support for those learning English as an additional language is coordinated with learning support.

▢ definitely agree    ▢ agree to some extent    ▢ disagree    ▢ need more information

B.2.6 Pastoral and behaviour support policies are linked to curriculum development and learning support policies.

▢ definitely agree    ▢ agree to some extent    ▢ disagree    ▢ need more information

B.2.7 Pressures for disciplinary exclusion are decreased.

▢ definitely agree    ▢ agree to some extent    ▢ disagree    ▢ need more information

B.2.8 Barriers to attendance are reduced.

▢ definitely agree    ▢ agree to some extent    ▢ disagree    ▢ need more information

B.2.9 Bullying is minimised.

▢ definitely agree    ▢ agree to some extent    ▢ disagree    ▢ need more information

Dimension C: Evolving inclusive practices

C.1 Orchestrating learning

C.1.1 Teaching is planned with the learning of all students in mind.

▢ definitely agree    ▢ agree to some extent    ▢ disagree    ▢ need more information

C.1.2 Lessons encourage the participation of all students.

▢ definitely agree    ▢ agree to some extent    ▢ disagree    ▢ need more information

C.1.3 Lessons develop an understanding of difference.

▢ definitely agree    ▢ agree to some extent    ▢ disagree    ▢ need more information

C.1.4 Students are actively involved in their own learning.

▢ definitely agree    ▢ agree to some extent    ▢ disagree    ▢ need more information

C.1.5 Students learn collaboratively.

▢ definitely agree    ▢ agree to some extent    ▢ disagree    ▢ need more information

C.1.6 Assessment contributes to the achievements of all students.

▢ definitely agree    ▢ agree to some extent    ▢ disagree    ▢ need more information

C.1.7 Classroom discipline is based on mutual respect.

▢ definitely agree    ▢ agree to some extent    ▢ disagree    ▢ need more information

C.1.8 Teachers plan, teach and review in partnership.

▢ definitely agree    ▢ agree to some extent    ▢ disagree    ▢ need more information

C.1.9 Teaching assistants support the learning and participation of all students.

▢ definitely agree    ▢ agree to some extent    ▢ disagree    ▢ need more information

C.1.10 Homework contributes to the learning of all.

▢ definitely agree    ▢ agree to some extent    ▢ disagree    ▢ need more information

C.1.11 All students take part in activities outside the classroom.

▢ definitely agree    ▢ agree to some extent    ▢ disagree    ▢ need more information

C. 2 Mobilising resources

C.2.1 Student difference is used as a resource for teaching and learning.

▢ definitely agree    ▢ agree to some extent    ▢ disagree    ▢ need more information

C.2.2 Staff expertise is fully utilised.

▢ definitely agree    ▢ agree to some extent    ▢ disagree    ▢ need more information

C.2.3 Staff develop resources to support learning and participation.

▢ definitely agree    ▢ agree to some extent    ▢ disagree    ▢ need more information

C.2.4 Community resources are known and drawn upon.

▢ definitely agree    ▢ agree to some extent    ▢ disagree    ▢ need more information

C.2.5 School resources are distributed fairly so that they support inclusion.

▢ definitely agree    ▢ agree to some extent    ▢ disagree    ▢ need more information

Priorities for development

  1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
  2. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
  3. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
  4. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Source: Booth, T and Ainscow, M (2002): Index for Inclusion: developing learning and participation in schools. Published by the Centre for Studies on Inclusive Education (CSIE).