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Mentee Survey

Welcome!

INSTRUCTIONS:  These questions ask how you feel about yourself.  For each question, choose the one answer that best describes how YOU feel about yourself.  When answering the questions, think about how you want to be compared to how you are now.  There are no right or wrong answers -- just give your HONEST opinion. Put a check mark in the appropriate box for each question.  
DOMAIN: Mental and Emotional Health
Space Cell STRONGLY DISAGREEDISAGREEAGREESTRONLY AGREE
I am as popular with kids my own age as I want to be.
I am as good a student as I would like to be.
I am happy about how much my family likes me.
I am happy with the way I look.
I am as good at sports/physical activities as I want to be.
STRONGLY DISAGREEDISAGREEAGREESTRONLY AGREE
I am happy with the way I can do most things.
I am as good as I want to be at making new friends.
I am doing as well on school work as I would like to.
I am too much trouble to my family.
I like my body just the way it is.
STRONGLY DISAGREEDISAGREEAGREESTRONLY AGREE
I wish I was better at sports/physical activities.
I sometimes think I am a failure (a "loser").
I have as many close friends as I would like to have.
I am good enough at math.
I get in trouble too much at home.
STRONGLY DISAGREEDISAGREEAGREESTRONLY AGREE
I feel good about my height and weight.
I feel OK about how well I do when I participate in sports/physical activities.
I am happy with myself as a person.
I am as well liked by other kids as I want to be.
I am as good at reading and writing as I want to be.
STRONGLY DISAGREEDISAGREEAGREESTRONLY AGREE
I feel OK about how important I am to my family.
I wish I looked a lot different.
I am happy about how many different kinds of sports/physical activities I am good at.
I am the kind of person I want to be.
I feel good about how well I get along with other kids.
STRONGLY DISAGREEDISAGREEAGREESTRONLY AGREE
I get grades that are good enough for me.
I get along as well as I would like to with my family.
I wish it were easier for me to learn new kinds of sports/physical activities.
I often feel ashamed of myself.
I wish my friends liked me more than they do.
STRONGLY DISAGREEDISAGREEAGREESTRONLY AGREE
I feel OK about how good of a student I am.
My family pays enough attention to me.
I participate in as many different kinds of sports/physical activities as I want to.
I like being just the way I am.
I feel good about how much my friends like my ideas.
STRONGLY DISAGREEDISAGREEAGREESTRONLY AGREE
I do as well on tests in school as I want to.
I am happy with how much my family loves me.
I am as good a person as I want to be.
I feel OK about how much other kids like doing things with me.
I get too many bad grades on my report cards.
STRONGLY DISAGREEDISAGREEAGREESTRONLY AGREE
I feel good about how much my family cares about my ideas.
I wish I had more to be proud of.
I know some nonparent adults I can go to for advice and support
My parent(s) or guardian(s) help me succeed in school
My parent(s) /guardian(s) and teachers encourage me to do well.