Select a response:
| Always | Usually | Sometimes | Never | |
|---|---|---|---|---|
| I use information to make decisions | ||||
| I take responsibility for my actions | ||||
| I set goals for myself | ||||
| I am respectful of others | ||||
| I have the confidence to speak in front of groups | ||||
| I can work things out when others don't agree with me | ||||
| I work well with other youth | ||||
| I am willing to consider the ideas of others even if they are different from mine | ||||
| I can stand up for things that are important to me |
Indicate whether you agree or disagree:
| Strongly Agree | Agree | Disagree | Strongly disagree | |
|---|---|---|---|---|
| I am comfortable making my own decisions | ||||
| I don't let my friends talk me into doing something I don't want to do | ||||
| I can explain my decisions to others | ||||
| I have a plan for reaching my goals | ||||
| I know how to deal with stress in positive ways | ||||
| I can change my plan when I need to |
Indicate whether you agree or disagree:
| Strongly Agree | Agree | Disagree | Strongly disagree | |
|---|---|---|---|---|
| I am comfortable sharing my thoughts and feelings with others | ||||
| I can use technology to help me express my ideas | ||||
| I know who I can go to if I need help with a problem | ||||
| I can work successfully with adults | ||||
| I have friends who care about me | ||||
| I am connected to adults who are not my parents |
Indicate whether you agree or disagree:
| Strongly Agree | Agree | Disagree | Strongly disagree | |
|---|---|---|---|---|
| I am someone who wants to help others | ||||
| I like to work with others to solve problems | ||||
| I have talents I can offer to others | ||||
| I learned things that helped me make a difference in my community | ||||
| I helped with a project that made a difference in my community |
Indicate whether you agree or disagree:
| Strongly Agree | Agree | Disagree | Strongly disagree | |
|---|---|---|---|---|
| I can work successfully with adults | ||||
| I know community leaders who support me | ||||
| I have adults in my life who care about me and are interested in my success | ||||
| I am someone who wants to help others | ||||
| I like to work with others to solve problems | ||||
| I have talents I can offer to others | ||||
| I have learned things that make a difference in my community | ||||
| I have led a project that made a difference in my community |
How old are you?
What grade are you in?