Pre/Post Assessment Grades 3-6
Sign in to Google to save your progress. Learn more
What is the number your teacher assigned you? *
Choose your school *
Who is your classroom teacher? *
What is your grade? *
How true is each of these about you?
Internalizing *
Not at all true
A little bit true
Mostly true
Very true
1. I feel angry when I have trouble learning
2. I worry about taking tests
3. I often feel lonely
4. I feel sad a lot of the time
5. I worry about doing well in school
6. I worry about finishing my work
7. I worry about having someone to play with at school
8. I feel ashamed when I make mistakes at school
Externalizing *
Not at all true
A little bit true
Mostly true
Very true
1. I often argue with other kids
2. It’s hard for me to pay attention
3. I get distracted easily
4. It’s hard for me to finish my schoolwork
5. I get in trouble for talking and disturbing others
6. I get in trouble for fighting with other kids
Peer Relationships *
Not at all true
A little bit true
Mostly true
Very true
1. I have lots of friends
2. I make friends easily
3. I get along with kids easily
4. I am easy to like
5. Other kids want me to be their friend
6. I have more friends than most other kids
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Mind Body Align, LLC.. Report Abuse