2019-2020 3-5 Fall Pre Needs Assessment

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Student Grade *

Teacher Name *

Beiker

Norman

Sauerbeck

Trowbridge

Hedrick

Rachford

Randall

Kelsch

Neltner

Warnick

When you have empathy for people, you:

Notice how they are feeling

Try to understand their point of view

Listen with attention to what they are saying

All of the above

Clear selection

Select the best example of being assertive when someone cuts in front of you in line:

Hey, get out of my way!

Umm... I don't know, I think I was in front of you maybe.

It is not okay to cut in front of me.

Clear selection

There is a new boy in your class. You decided to start a conversation to get to know him better. What is something you can do to keep the conversation going?

Listen to him with attention when he is talking

Face him when you are talking

Keep talking without allowing him the chance to share about himself

Interrupt him to share about you

Both A and B

Clear selection

You experience strong emotions only in your brain.

True

False

Clear selection

What are the first two things you should do to begin to calm down?

Stop

Jump Up and Down

Yell

Name Your Feeling

Lie down

You are playing a game at recess. You notice that someone on the other team is cheating. You are so angry! What are two ways you can calm down?

Belly Breathe

Positive Self-Talk (Just chill. Maybe he does not know the rules.)

Groan really loudly and walk away

Call the kid a cheater and make sure that everyone hears you.

Which of the following is not one of the Second Step Problem-Solving Steps?

D. Decide who is to blame

T. Think of Solutions

P. Pick the best solution

E. Explore consequences

Clear selection

Sometimes solutions to problems are complicated and require a plan. Select all of the following that are good to remember when making a plan:

The order makes sense

There is enough time to do it

It is realistic and you are able to do it

All of the above

Clear selection

Submit

Clear form

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