Students Wellbeing Survey A Before we begin our Mindfulness Program lets complete a short 5 - minute survey. *Teachers, please read through our questions and identify any wording that your students may need help with. Hello students, For each question choose the answer that feels like the best match for you. We appreciate your honest answers and remember with this survey, all answers are right! Question Title * 1. My Teacher Question Title * 2. My School Question Title * 3. What grade are you in? Year Two Year Three Year Four Year Five Year Six Question Title * 4. I enjoy doing activities that help me feel relaxed at school. Never Sometimes Often All the time Question Title * 5. I worry a lot about things. Never Sometimes Often All the time Question Title * 6. I feel good about myself. Never Sometimes Often All the time Question Title * 7. I feel calm. Never Sometimes Often All the time Question Title * 8. I feel stressed. Never Sometimes Often All the time Question Title * 9. I find it difficult to focus and pay attention in class. Never Sometimes Often All the time Question Title * 10. I rush through activities without paying close attention to them. Never Sometimes Often All the time Question Title * 11. I find it difficult to fall asleep at bedtime. Never Sometimes Often All the time Question Title * 12. When I'm feeling angry, sad or upset I try and push these feelings away. Never Sometimes Often All the time Question Title * 13. I react easily or overreact when I'm upset, angry, or when things don't go my way. Never Sometimes Often All the time Question Title * 14. While doing school work I am easily distracted. Never Sometimes Often All the time Question Title * 15. I think some of my emotions are bad and I shouldn't feel them. Never Sometimes Often All the time Question Title * 16. I am grateful for the opportunities I have in my life. Never Sometimes Often All the time Question Title * 17. I can calm myself down in challenging situations. Never Sometimes Often All the time Question Title * 18. I can turn challenges into opportunities to learn about myself. Never Sometimes Often All the time Question Title * 19. When I am struggling I am kind and encouraging to myself. Never Sometimes Often All the time Question Title * 20. When others are struggling I am kind and encouraging to them. Never Sometimes Often All the time Question Title * 21. I am respectful to teachers, other students and people I meet outside of school. Never Sometimes Often All the time Question Title * 22. Everyone in my class is mostly kind, respectful and caring towards one another. Never Sometimes Often All the time Question Title * 23. I feel that my classroom is both a happy and calm place to come every day. Never Sometimes Often All the time Done
