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* 1. Teacher's name

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* 2. Child's school code (as allocated by the NSW Dept Education, ie the four digit 'school code')

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* 3. Child's unique school number (using the structure: school code as the first four digits, then 00 for Kinder, 01 for Year 1, 02 for Year 2, etc; then a three digit number 001 for the first student on which data is collected, 002 for the second, 003 for the third, etc). For example the first Year 2 student being surveyed at Evans River would have the code '188602001'. 1886 is Evans River's DoE school code.

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* 4. Child's age (in years)

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* 5. Child's grade (year level)

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* 6. Child's gender

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* 7. Is this child from a support class or receiving integration funding support?

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* 8. The child is afraid of asking questions in class

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* 9. This child speaks only when someone asks a question of them

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* 10. This child worries what other people think of him/her

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* 11. This child does not volunteer answers or comments during class

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* 12. This child is afraid of making mistakes

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* 13. This child hates being the centre of attention

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* 14. This child hesitates in starting tasks or asks whether they understood the task before starting

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* 15. This child worries about things

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* 16. This child worries that he/she will do badly at school

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* 17. This child worries that something bad will happen to him/her

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* 18. This child seems very shy

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* 19. This child complains of headaches, stomach aches or feeling sick

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* 20. This child often feels afraid when he/she has to talk in front of the class

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* 21. This child hesitates to speak when in group situations

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* 22. When this child has a problem he/she feels shaky

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* 23. This child appears nervous when approached by other children or adults

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