Mid - Term Test for 4th and 5th Grades at Fairplain East January 2025 Question Title * 1. What is your grade? 4th Grade 5th Grade Question Title * 2. What is your age? eight nine ten eleven twelve Question Title * 3. How often were you kind to other students in the last 30 days? Almost never Once in awhile Often Almost all the time Question Title * 4. How often did you feel anxious or nervous in the last 30 days? Almost Never Once in a while Often Almost all the time Question Title * 5. How often did you feel sad or down in the last 30 days Almost Never Once in awhile Often Almost all the time Question Title * 6. How likely are you to hurt yourself on purpose/commit suicide in the future? Very Likely Likely Unlikely Very Unlikely Question Title * 7. How much were you respectful to your teacher in the last 30 days? Almost Never Once in a while Often Almost all the time Question Title * 8. How important is it to you to be clean and take a shower or bath regularly? No importance Very little importance More importance Great Importance Question Title * 9. How likely are you to use drugs in the future like lean, crack, cocaine, heroin, crystal meth, or others that aren't prescribed for you, or inhale things to get a feeling from them? Very Likely Likely Unlikely Very Unlikely Question Title * 10. Do you think you might drink alcohol before you're old enough? yes no Question Title * 11. How likely are you to smoke cigarettes, use marijuana, or vape in the future? Very Likely Likely Unlikely Very Unlikely Question Title * 12. How often have you acted out on your anger and hit, kicked or pushed someone in the last 30 days? Never Once in awhile Often Almost all the time Question Title * 13. How much do you believe in yourself? Very Little Belief Little Belief More Belief Great Belief Question Title * 14. Do you consider yourself a good person? Yes No Question Title * 15. How likely are you to speak or perform in front of other students? (circle one) Very Likely Likely Unlikely Very Unlikely Question Title * 16. Do you believe that you matter and your life is important? Yes No Question Title * 17. Do you plan to go to college, a trade school or vocational school? Yes No Question Title * 18. Do you love yourself? Yes No Question Title * 19. How often are you able to calm yourself down when you are angry? Almost never Once in awhile Often Almost all the time Question Title * 20. How often do you make responsible choices? Almost never Once in awhile Often Almost all the time Question Title * 21. How likely are you to seek after your dreams? Very Likely Likely Unlikely Very Unlikely Question Title * 22. Are you planning to stay in school until you graduate high school? Yes No Question Title * 23. How much hope do you have for a bright future? No Hope Little Hope More Hope Great Hope Question Title * 24. Do you believe dreams can come true? Yes No Question Title * 25. Who is your teacher? Done