Free Printable Goal Setting Survey

Free Printable Worksheets

Worksheets

Goal Setting Survey

Total questions: 34

Worksheet time: 17mins

Name

Class

Date

1.

How often do you stay focused on the same goal?

a)

Almost Never

b)

Once in a while

c)

Sometimes

d)

e)

Almost always

2.

If you don’t reach your goal, are you likely to try again?

a)

Not at all likely

b)

Slightly likely

c)

Somewhat likely

d)

Quite likely

e)

Extremely likely

3.

When working on a project, how focused can you stay?

a)

Not at all focused

b)

Slightly focused

c)

Somewhat focused

d)

Quite Focused

e)

Extremely focused

4.

If you have a problem while working, how well can you keep working?

a)

Not well at all

b)

Slightly well

c)

Somewhat well

d)

Quite well

e)

Extremely well

5.

Are you likely to continue to pursue one of your current goals?

a)

Not at all likely

b)

Slightly likely

c)

Somewhat likely

d)

Quite likely

e)

Extremely likely

6.

How confident are you that you can complete work in your class?

a)

Not at all confident

b)

Slightly confident

c)

Somewhat confident

d)

Quite confident

e)

Extremely confident

7.

How confident are you that you can understand complicated (hard) ideas?

a)

Not at all confident

b)

Slightly confident

c)

Somewhat confident

d)

Quite confident

e)

Extremely confident

8.

How confident are you that you can learn everything presented in your classes?

a)

Not at all confident

b)

Slightly confident

c)

Somewhat confident

d)

Quite confident

e)

Extremely confident

9.

How confident are you that you can do hard work in class?

a)

Not at all confident

b)

Slightly confident

c)

Somewhat confident

d)

Quite confident

e)

Extremely confident

10.

How confident are you that you will remember what you learn in class?

a)

Not at all confident

b)

Slightly confident

c)

Somewhat confident

d)

Quite confident

e)

Extremely confident

11.

Please answer the following questions about how you respond to different situations. During the past 30 days...

How carefully did you listen to other people?

a)

Not carefully at all

b)

Slightly carefully

c)

Somewhat carefully

d)

Quite carefully

e)

Extremely carefully

12.

How often did you come to class prepared?

a)

Almost never

b)

Once in a while

c)

Sometimes

d)

Frequently

e)

Almost all the time

13.

How much did you care about other people's feelings?

a)

Did not care at all

b)

Cared a little bit

c)

Cared somewhat

d)

Cared quite a bit

e)

Cared a tremendous amount

14.

How often did you follow directions in class?

a)

Almost Never

b)

Once in a while

c)

Sometimes

d)

Frequently

e)

Almost all the time

15.

How well did you get along with students who are different (not like) from you?

a)

Did not get along at all

b)

Got along a little bit

c)

Got along somewhat

d)

Got along pretty well

e)

Got along extremely well

16.

How often did you get your work done right away?

a)

Almost never

b)

Once in a while

c)

Sometimes

d)

Frequently

e)

Almost all the time

17.

How often were you polite (nice) to adults?

a)

Almost never

b)

Once in a while

c)

Sometimes

d)

Frequently

e)

Almost all the time

18.

How often did you give positive support to your classroom peers?

a)

Almost never

b)

Once in a while

c)

Sometimes

d)

Frequently

e)

Almost all the time

19.

How often did you pay attention?

a)

Almost never

b)

Once in a while

c)

Sometimes

d)

Frequently

e)

Almost all the time

20.

How clearly were you able to describe (through pictures, words, communication devices) your feelings?

a)

Not at all clear

b)

Slightly clear

c)

Somewhat clearly

d)

Quite clearly

e)

Extremely clearly

21.

When you were working independently, how often did you stay focused?

a)

Almost never

b)

Once in a while

c)

Sometimes

d)

Frequently

e)

Almost all the time

22.

When others disagreed with you, how respectful were you?

a)

Not at all respectful

b)

Slightly respectful

c)

Somewhat respectful

d)

Quite respectful

e)

Extremely respectful

23.

How often did you remain calm when others were bothering you?

a)

Almost never

b)

Once in a while

c)

Sometimes

d)

Frequently

e)

Almost all the time

24.

Are you able to stand up for yourself without putting others down?

a)

Not at all

b)

A little bit

c)

Somewhat

d)

Quite a bit

e)

A tremendous amount

25.

How often did you allow others to speak without interruption?

a)

Almost never

b)

Once in a while

c)

Sometimes

d)

Frequently

e)

Almost all the time

26.

Were you able to disagree with others without starting an argument?

a)

Not at all

b)

A little bit

c)

Somewhat

d)

Quite a bit

e)

A tremendous amount

27.

How often were you polite to other students?

a)

Almost never

b)

Once in a while

c)

Sometimes

d)

Frequently

e)

Almost all the time

28.

How often were you able to control your temper?

a)

Almost never

b)

Once in a while

c)

Sometimes

d)

Frequently

e)

Almost all the time

29.

When you are feeling pressured (stress, frustration), how easily can you stay in control?

a)

Not easily at all

b)

Slightly easily

c)

Somewhat easily

d)

Quite easily

e)

Extremely easily

30.

How often are you able to get out of a bad mood?

a)

Almost never

b)

Once in a while

c)

Sometimes

d)

Frequently

e)

Almost always

31.

When everybody around you gets angry, how relaxed can you stay?

a)

Not relaxed at all

b)

Slightly relaxed

c)

Somewhat relaxed

d)

Quite relaxed

e)

Extremely relaxed

32.

How often are you able to control your emotions when you need to?

a)

Almost never

b)

Once in a while

c)

Sometimes

d)

Frequently

e)

Almost always

33.

Once you get upset, how often can you regroup and start over?

a)

Almost never

b)

Once in a while

c)

Sometimes

d)

Frequently

e)

Almost always

34.

When things go wrong for you, can you remain calm?

a)

Not calm at all

b)

Slightly calm

c)

Somewhat calm

d)

Quite calm

e)

Extremely calm

Reset

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