PARTICIPANT INFORMATION / CODE

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Email *

TYPE OF TEST:
*

Before Pre-Texts (Baseline)

During Pre-Texts / Specify the number of weeks since the program’s start: _________ weeks.

Immediately After Pre-Texts

Follow-up /Specify the number of weeks since the program ended: __________ weeks.

Institution
*

Date
*

YYYY

Grade
*

Facilitators
*

Nº asignado en la capacitación
*

STUDENT DATA / Name / Roster Number
*

Notes & Instructions

Below, you will find a set of questions related to your emotional well-being. These questions are part of a study conducted by Pre-Texts International.

I.-In the last 7 days…

1. Never
2. Almost Never
3. Sometimes
4.Often
5. Almost Always

I felt too sad to do things with classmates.

I felt sad.

I felt lonely.

I was less interested in doing things I usually enjoy.

It was hard for me to care about anything.

It was hard for me to have fun.

I felt like I couldn't do anything right.

I felt everything in my life went wrong.

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