Mindful Schools PRE Survey - Elementary 2019-2020; 2020-2021

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Mindful School Survey

School *

Teacher *

What is your unique Student Number assigned by your teacher? (1-40) *

Grade *

I am a *

Girl

Boy

Age *

Please check how well you Agree or Disagree with each question below *

Totally Disagree

Disagree

Agree

Totally Agree

I pay attention in class.

I am nice to other people.

I calm myself down when I get angry.

I do well in school.

I behave when I am on the playground.

Please check how well you Agree or Disagree with each question below *

Totally Disagree

Disagree

Agree

Totally Agree

I can calm myself down when someone is mean to me.

I have trouble listening in class.

It is hard for me to keep my body still in class.

I get nervous when I am taking a test.

Sending kind thoughts to a person makes me feel good.

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