SEL Survey (Student) Name First Last Grade Level23456789101112Gender Female Male Other/Rather not say RaceSelect all that apply. Asian Native American Black Hispanic White Multi-racial Other My friends and I enjoy sharing some interests, but also have some separate interests.Strongly agreeAgreeNeutralDisagreeStrongly disagreeI try to do my share when I am working or playing with another student.Strongly agreeAgreeNeutralDisagreeStrongly disagreeI trust my friends.Strongly agreeAgreeNeutralDisagreeStrongly disagreeI feel like I am part of a team when I am working with other students.Strongly agreeAgreeNeutralDisagreeStrongly disagreeSometimes I make fun of people so I will fit in.Strongly agreeAgreeNeutralDisagreeStrongly disagreeIt bothers me to see other people unhappy.Strongly agreeAgreeNeutralDisagreeStrongly disagreeI compliment others when they do something well.AlwaysUsuallySometimesHardly everNeverWhen I don’t understand something, I ask questions and keep trying.Strongly agreeAgreeNeutralDisagreeStrongly disagreeLearning new things is fun.Strongly agreeAgreeNeutralDisagreeStrongly disagreeI like to understand why a way of doing something works.Strongly agreeAgreeNeutralDisagreeStrongly disagreeWhen I am working with others and something goes wrong, we work together to figure out why and fix it.Strongly agreeAgreeNeutralDisagreeStrongly disagreeI care about getting good grades.Strongly agreeAgreeNeutralDisagreeStrongly disagreeWhen I work with other students, everyone pitches in and works.AlwaysUsuallySometimesHardly everNeverI come to class with my homework finished.AlwaysUsuallySometimesHardly everNeverI enjoy working or playing with students who are very different from me.Strongly agreeAgreeNeutralDisagreeStrongly disagreeI understand other peoples feelings.Strongly agreeAgreeNeutralDisagreeStrongly disagreeI fit in at my school.Strongly agreeAgreeNeutralDisagreeStrongly disagreeI am usually in a good mood.Strongly agreeAgreeNeutralDisagreeStrongly disagreeI feel good about myself.Strongly agreeAgreeNeutralDisagreeStrongly disagreeI listen carefully to directions.Strongly agreeAgreeNeutralDisagreeStrongly disagreeI feel close to the adults in this program.Strongly agreeAgreeNeutralDisagreeStrongly disagreeI sometimes can't control my anger.Strongly agreeAgreeNeutralDisagreeStrongly disagreeIf I don't understand something at first, I keep trying.Strongly agreeAgreeNeutralDisagreeStrongly disagreeI sometimes go from being happy to sad or mad very quickly.Strongly agreeAgreeNeutralDisagreeStrongly disagreeIf I try, I can do well in school.Strongly agreeAgreeNeutralDisagreeStrongly disagreeI like to finish my class work right away.Strongly agreeAgreeNeutralDisagreeStrongly disagreeI am easily distracted when doing my school work.AlwaysUsuallySometimesHardly everNeverI notice how my feelings affect how I act.AlwaysUsuallySometimesHardly everNeverI know what I am good at and what is hard for me.Strongly agreeAgreeNeutralDisagreeStrongly disagreeI can understand other peoples’ views, even if I don’t agree with them.Strongly agreeAgreeNeutralDisagreeStrongly disagree
