Pre - Test for 4th and 5th Grades at Fairplain East October 2024 Survey

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* 1. What is your grade?

4th Grade

5th Grade

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* 2. What is your age?

eight

nine

ten

eleven

twelve

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* 3. How often were you kind to other students in the last 30 days?

Almost never

Once in awhile

Often

Almost all the time

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* 4. How often do you feel anxious or nervous in the last 30 days?

Almost Never

Once in a while

Often

Almost all the time

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* 5. How often do you feel sad or down in the last 30 days

Almost Never

Once in awhile

Often

Almost all the time

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

Very Likely

Likely

Unlikely

Very Unlikely

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* 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

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* 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

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* 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

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

yes

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

Very Likely

Likely

Unlikely

Very Unlikely

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* 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

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* 13. How much do you believe in yourself?

Very Little Belief

Little Belief

More Belief

Great Belief

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* 14. Do you consider yourself a good person?

Yes

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

Very Likely

Likely

Unlikely

Very Unlikely

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

Yes

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

Yes

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* 18. Do you love yourself?

Yes

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

Almost never

Once in awhile

Often

Almost all the time

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* 20. How often do you make responsible choices?

Almost never

Once in awhile

Often

Almost all the time

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

Very Likely

Likely

Unlikely

Very Unlikely

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

Yes

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

No Hope

Little Hope

More Hope

Great Hope

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* 24. Do you believe dreams can come true?

Yes

Pre - Test for 4th and 5th Grades at Fairplain East October 2024

Question Title

* 1. What is your grade?

Question Title

* 2. What is your age?

Question Title

* 3. How often were you kind to other students in the last 30 days?

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* 4. How often do you feel anxious or nervous in the last 30 days?

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* 5. How often do you feel sad or down in the last 30 days

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

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

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

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* 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?

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

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

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

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* 13. How much do you believe in yourself?

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* 14. Do you consider yourself a good person?

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

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

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

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* 18. Do you love yourself?

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

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* 20. How often do you make responsible choices?

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

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

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

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* 24. Do you believe dreams can come true?

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* 25. Who is your teacher?