Do you get along or work well with students who are different from you? A) No, never. B) Yes, some of the time. C) Yes,
C A L I F O R N I A
healthy kids
S
U
R
V
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Y
Personal, Social and Emotional Strengths Module SUPPLEMENT 1 I stand up for myself without putting others down. A) No, never B) Yes, some of the time C) Yes, most of the time D) Yes, all of the time
70.
Do you get along or work well with students who are different from you? A) No, never B) Yes, some of the time C) Yes, most of the time D) Yes, all of the time
71.
Do you enjoy working with other students? A) No, never B) Yes, some of the time C) Yes, most of the time D) Yes, all of the time
72.
Do you try to understand how other people feel? A) No, never B) Yes, some of the time C) Yes, most of the time D) Yes, all of the time
FO R
RE DO FE NO RE N T C CO E O PY N LY
69.
73.
Do you feel bad when someone else gets their feelings hurt? A) No, never B) Yes, some of the time C) Yes, most of the time D) Yes, all of the time
California Healthy Kids Survey ©2015 CA Dept. of Ed. Version E19 — Fall 2015–Spring 2016 ~ 14 ~
Elementary School Questionnaire Personal, Social and Emotional Strengths Module
C A L I F O R N I A
healthy kids
S
U
R
V
E
Y
Personal, Social and Emotional Strengths Module SUPPLEMENT 1 Do you try to understand what other people go through? A) No, never B) Yes, some of the time C) Yes, most of the time D) Yes, all of the time
75.
Do you try to understand your moods and feelings? A) No, never B) Yes, some of the time C) Yes, most of the time D) Yes, all of the time
76.
Do you understand why you do what you do? A) No, never B) Yes, some of the time C) Yes, most of the time D) Yes, all of the time
77.
Do you feel there is a purpose to your life? A) No, never B) Yes, some of the time C) Yes, most of the time D) Yes, all of the time
FO R
RE DO FE NO RE N T C CO E O PY N LY
74.
78.
I can do most things if I try. A) No, never B) Yes, some of the time C) Yes, most of the time D) Yes, all of the time
California Healthy Kids Survey ©2015 CA Dept. of Ed. Version E19 — Fall 2015–Spring 2016 ~ 15 ~
Elementary School Questionnaire Personal, Social and Emotional Strengths Module
C A L I F O R N I A
healthy kids
S
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Y
Personal, Social and Emotional Strengths Module SUPPLEMENT 1 Do you try to work out your problems? A) No, never B) Yes, some of the time C) Yes, most of the time D) Yes, all of the time
80.
Are there many things you do well? A) No, never B) Yes, some of the time C) Yes, most of the time D) Yes, all of the time
81.
Do you know where to go for help with a problem? A) No, never B) Yes, some of the time C) Yes, most of the time D) Yes, all of the time
82.
Do you try to work out your problems by talking or writing about them? A) No, never B) Yes, some of the time C) Yes, most of the time D) Yes, all of the time
FO R
RE DO FE NO RE N T C CO E O PY N LY
79.
83.
When you need help, do you find someone to talk with about it? A) No, never B) Yes, some of the time C) Yes, most of the time D) Yes, all of the time
California Healthy Kids Survey ©2015 CA Dept. of Ed. Version E19 — Fall 2015–Spring 2016 ~ 16 ~
Elementary School Questionnaire Personal, Social and Emotional Strengths Module
C A L I F O R N I A
healthy kids
S
U
R
V
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Y
Personal, Social and Emotional Strengths Module SUPPLEMENT 1 Do you try to do your best? A) No, never B) Yes, some of the time C) Yes, most of the time D) Yes, all of the time
85.
Do you set goals and then work to achieve them? A) No, never B) Yes, some of the time C) Yes, most of the time D) Yes, all of the time
86.
I accept responsibility for my actions. A) No, never B) Yes, some of the time C) Yes, most of the time D) Yes, all of the time
87.
When I make a mistake I admit it. A) No, never B) Yes, some of the time C) Yes, most of the time D) Yes, all of the time
FO R
RE DO FE NO RE N T C CO E O PY N LY
84.
88.
I can deal with being told no. A) No, never B) Yes, some of the time C) Yes, most of the time D) Yes, all of the time
California Healthy Kids Survey ©2015 CA Dept. of Ed. Version E19 — Fall 2015–Spring 2016 ~ 17 ~
Elementary School Questionnaire Personal, Social and Emotional Strengths Module
