Screen Reader Mode Icon

Question Title

* 1. What is your age?

Question Title

* 2. How often were you kind to others students in the last 30 days?

Question Title

* 3. How often did you feel anxious or nervous in the last 30 days?

Question Title

* 4. How often did you feel sad or down in the last 30 days?

Question Title

* 5. Do you ever think you might hurt yourself on purpose/commit suicide in the future?

Question Title

* 6. How much were you respectful to your teacher in the last 30 days?

Question Title

* 7. How important is it to you to be clean and take a shower or bath regularly?

Question Title

* 8. 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?

Question Title

* 9. Do you think you might drink alcohol before you're old enough?

Question Title

* 10. How likely are you to smoke cigarettes, use marijuana, or vape in the future?

Question Title

* 11. How often have you acted out on your anger and hit, kicked or pushed someone in the last 30 days?

Question Title

* 12. How much do you believe in yourself?

Question Title

* 13. Do you consider yourself a good person?

Question Title

* 14. How likely are you to speak or perform in front of other students? (circle one)

Question Title

* 15. Do you believe that you matter and your life is important?

Question Title

* 16. Do you plan to go to college, a trade school or vocational school?

Question Title

* 17. Do you love yourself?

Question Title

* 18. How often are you able to calm yourself down when you are angry?

Question Title

* 19. How often do you make responsible choices?

Question Title

* 20. How likely are you to seek after your dreams?

Question Title

* 21. Are you planning to stay in school until you graduate?

Question Title

* 22. How much hope do you have for a bright future?

Question Title

* 23. Do you believe dreams can come true?

Question Title

* 24. Who is your teacher?

0 of 24 answered
 

T