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WorksheetsPPY24-25 PTech Pre-Survey
Total questions: 62
Worksheet time: 2hrs 6mins
Name
Class
Date
1.
1. Setting goals helps me focus on what I want to achieve now and in the future.
a)
Strongly disagree
b)
Disagree
c)
Not sure
d)
Agree
e)
Strongly agree
2.
2. In setting goals for myself, I make sure they are realistic and positive.
a)
Strongly disagree
b)
Disagree
c)
Not sure
d)
Agree
e)
Strongly agree
3.
3. When I set a goal, I think about the action steps I need to take to achieve my goal.
a)
Strongly disagree
b)
Disagree
c)
Not sure
d)
Agree
e)
Strongly agree
4.
4. To reach my goals, I have to manage obstacles that may interfere with my progress.
a)
Strongly disagree
b)
Disagree
c)
Not sure
d)
Agree
e)
Strongly agree
5.
5. Success in attaining my goals requires motivation on my part.
a)
Strongly disagree
b)
Disagree
c)
Not sure
d)
Agree
e)
Strongly agree
6.
6. I have the skills to figure out how to reach my goals.
a)
Strongly disagree
b)
Disagree
c)
Not sure
d)
Agree
e)
Strongly agree
7.
7. I am responsible for the decisions I make.
a)
Strongly disagree
b)
Disagree
c)
Not sure
d)
Agree
e)
Strongly agree
8.
8. The choices and action steps I take affect how and if I will reach my goals.
a)
Strongly disagree
b)
Disagree
c)
Not sure
d)
Agree
e)
Strongly agree
9.
9. I make good decisions because I stop and think about the possible positive and negative consequences of those decisions.
a)
Strongly disagree
b)
Disagree
c)
Not sure
d)
Agree
e)
Strongly agree
10.
10. Before I make an important decision, I consider who or what may be having positive or negative influence on some of the choices I could make.
a)
Strongly disagree
b)
Disagree
c)
Not sure
d)
Agree
e)
Strongly agree
11.
11. After I’ve acted on my decisions, I reflect on whether or not they had a positive outcome or helped me get closer to my goals.
a)
Strongly disagree
b)
Disagree
c)
Not sure
d)
Agree
e)
Strongly agree
12.
12. I have the skills to make healthy, responsible decisions.
a)
Strongly disagree
b)
Disagree
c)
Not sure
d)
Agree
e)
Strongly agree
13.
13. I am aware of my emotions and how they might influence what I might do or say.
a)
Strongly disagree
b)
Disagree
c)
Not sure
d)
Agree
e)
Strongly agree
14.
14. I am socially aware and can recognize and respond to the emotions of other people.
a)
Strongly disagree
b)
Disagree
c)
Not sure
d)
Agree
e)
Strongly agree
15.
15. I am good at choosing healthy actions because I take the time to identify and think about my feelings.
a)
Strongly disagree
b)
Disagree
c)
Not sure
d)
Agree
e)
Strongly agree
16.
16. I try to understand and respect the emotions of the person I am talking with.
a)
Strongly disagree
b)
Disagree
c)
Not sure
d)
Agree
e)
Strongly agree
17.
17. Emotions such as anger or frustration can negatively impact the decisions I make.
a)
Strongly disagree
b)
Disagree
c)
Not sure
d)
Agree
e)
Strongly agree
18.
18. Managing my emotions can make it easier for me to reach my goals.
a)
Strongly disagree
b)
Disagree
c)
Not sure
d)
Agree
e)
Strongly agree
19.
19. Good communication skills can help me build and maintain healthy relationships.
a)
Strongly disagree
b)
Disagree
c)
Not sure
d)
Agree
e)
Strongly agree
20.
20. I watch other students’ body language to help me understand what they are trying to say.
a)
Strongly disagree
b)
Disagree
c)
Not sure
d)
Agree
e)
Strongly agree
21.
21. I use active listening skills when interacting with others.
a)
Strongly disagree
b)
Disagree
c)
Not sure
d)
Agree
e)
Strongly agree
22.
22. I look at students’ facial expressions to help me understand what they are trying to tell me.
a)
Strongly disagree
b)
Disagree
c)
Not sure
d)
Agree
e)
Strongly agree
23.
23. I try to use an assertive communication style when interacting with others.
a)
Strongly disagree
b)
Disagree
c)
Not sure
d)
Agree
e)
Strongly agree
24.
24. I am good at reading nonverbal cues like tone of voice when working with other students.
a)
Strongly disagree
b)
Disagree
c)
Not sure
d)
Agree
e)
Strongly agree
25.
25. I know the difference between healthy and unhealthy relationships.
a)
Strongly disagree
b)
Disagree
c)
Not sure
d)
Agree
e)
Strongly agree
26.
26. I pick my friends based on their character, shared values, and who will support me in making healthy decisions.
a)
Strongly disagree
b)
Disagree
c)
Not sure
d)
Agree
e)
Strongly agree
27.
27. I am more likely to reach my goals if I have healthy relationships with other people.
a)
Strongly disagree
b)
Disagree
c)
Not sure
d)
Agree
e)
Strongly agree
28.
28. I encourage my friends to demonstrate positive qualities in their interactions with others.
a)
Strongly disagree
b)
Disagree
c)
Not sure
d)
Agree
e)
Strongly agree
29.
29. I avoid people who try to get me to do things that could get me in trouble.
a)
Strongly disagree
b)
Disagree
c)
Not sure
d)
Agree
e)
Strongly agree
30.
30. I prefer friends who have a positive influence on my behavior and the decisions I make.
a)
Strongly disagree
b)
Disagree
c)
Not sure
d)
Agree
e)
Strongly agree
31.
31. I am self-confident because I know my abilities and talents.
a)
Strongly disagree
b)
Disagree
c)
Not sure
d)
Agree
e)
Strongly agree
32.
32. I treat myself with respect.
a)
Strongly disagree
b)
Disagree
c)
Not sure
d)
Agree
e)
Strongly agree
33.
33. I feel good about myself.
a)
Strongly disagree
b)
Disagree
c)
Not sure
d)
Agree
e)
Strongly agree
34.
34. I treat other people with respect.
a)
Strongly disagree
b)
Disagree
c)
Not sure
d)
Agree
e)
Strongly agree
35.
35. I accept people who are different from me.
a)
Strongly disagree
b)
Disagree
c)
Not sure
d)
Agree
e)
Strongly agree
36.
36. I try to be kind and supportive of others.
a)
Strongly disagree
b)
Disagree
c)
Not sure
d)
Agree
e)
Strongly agree
37.
37. I use my skills to solve my conflicts non-violently.
a)
Strongly disagree
b)
Disagree
c)
Not sure
d)
Agree
e)
Strongly agree
38.
38. In an argument, I ask to hear the other student’s point of view or side of the story.
a)
Strongly disagree
b)
Disagree
c)
Not sure
d)
Agree
e)
Strongly agree
39.
39. If I have an argument, I try to work it out with the other student.
a)
Strongly disagree
b)
Disagree
c)
Not sure
d)
Agree
e)
Strongly agree
40.
40. If I have a disagreement with someone, I try to use a calm voice and talk it out.
a)
Strongly disagree
b)
Disagree
c)
Not sure
d)
Agree
e)
Strongly agree
41.
41. I try to use peaceful ways to work out disagreements or conflicts with others.
a)
Strongly disagree
b)
Disagree
c)
Not sure
d)
Agree
e)
Strongly agree
42.
42. I believe having a respectful and cooperative attitude can help resolve conflicts.
a)
Strongly disagree
b)
Disagree
c)
Not sure
d)
Agree
e)
Strongly agree
43.
43. I know healthy ways to manage my emotions related to stress.
a)
Strongly disagree
b)
Disagree
c)
Not sure
d)
Agree
e)
Strongly agree
44.
44. If I start to feel anxious, I know steps I can take to lessen my anxiety.
a)
Strongly disagree
b)
Disagree
c)
Not sure
d)
Agree
e)
Strongly agree
45.
45. When I am in a stressful situation, I try to relax my body.
a)
Strongly disagree
b)
Disagree
c)
Not sure
d)
Agree
e)
Strongly agree
46.
46. I know how to calm myself down when I am tense or upset.
a)
Strongly disagree
b)
Disagree
c)
Not sure
d)
Agree
e)
Strongly agree
47.
47. I try to manage feelings of stress in healthy ways so that I can function effectively.
a)
Strongly disagree
b)
Disagree
c)
Not sure
d)
Agree
e)
Strongly agree
48.
48. If something is bothering me, I know things I can do to relax and cool down.
a)
Strongly disagree
b)
Disagree
c)
Not sure
d)
Agree
e)
Strongly agree
49.
49. I believe it is wrong to prejudge or discriminate against others.
a)
Strongly disagree
b)
Disagree
c)
Not sure
d)
Agree
e)
Strongly agree
50.
50. It is wrong to hit, threaten, or insult other people.
a)
Strongly disagree
b)
Disagree
c)
Not sure
d)
Agree
e)
Strongly agree
51.
51. I believe it is wrong to spread rumors or post mean messages online about others.
a)
Strongly disagree
b)
Disagree
c)
Not sure
d)
Agree
e)
Strongly agree
52.
52. It is wrong to use your fists, push, or shove others to resolve a conflict.
a)
Strongly disagree
b)
Disagree
c)
Not sure
d)
Agree
e)
Strongly agree
53.
53. I believe it is wrong to intimidate, use name calling, or tease others to hurt them.
a)
Strongly disagree
b)
Disagree
c)
Not sure
d)
Agree
e)
Strongly agree
54.
54. It is wrong for a person to bully someone, no matter the reason.
a)
Strongly disagree
b)
Disagree
c)
Not sure
d)
Agree
e)
Strongly agree
55.
55. I have decided I won’t hit, push, or threaten other people anytime in the next year.
a)
Strongly disagree
b)
Disagree
c)
Not sure
d)
Agree
e)
Strongly agree
56.
56. I have decided I won’t use insults, teasing, or name calling to hurt others anytime in the next year.
a)
Strongly disagree
b)
Disagree
c)
Not sure
d)
Agree
e)
Strongly agree
57.
57. I have decided I won’t encourage bullying behavior by others anytime in the next year.
a)
Strongly disagree
b)
Disagree
c)
Not sure
d)
Agree
e)
Strongly agree
58.
What is your age?
4 lines
59.
What School District are you a part of?
4 lines
60.
What is your gender?
a)
Male (boy, man, uses he/him pronouns)
b)
Female (girl, woman, uses she/her pronouns)
c)
Trans/Non-binary
d)
I'm unsure
61.
What is your race or ethnicity?
4 lines
62.
Are you Hispanic or Latino?
a)
Yes, I am Hispanic or Latino
b)
No, I am not Hispanic or Latino
c)
I don't know
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