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Questions marked with an * are required Exit Survey
 
 
* Name
   
 
 
* Birthday
   
 
 
* What grade are you in?
   
 
 
* What is your gender?
 
Female
 
Male
 
 
* What best describes your ethnicity?
 
Black / African American
 
Native American / Alaskan Native
 
Hispanic / Latino
 
Asian
 
Native Hawaiian / Other Pacific Islander
 
White / European American
 
More than one ethnicity
 
 
How often do you stop and think about your options before you make a decision?
 
Never
 
Sometimes
 
Most times
 
Always
 
 
 
How often do you stop and think about how your decisions may effect others’ feelings?
 
Never
 
Sometimes
 
Most times
 
Always
 
 
 
How often do you stop to think about all of the things that may happen as a result of your decisions?
 
Never
 
Sometimes
 
Most times
 
Always
 
 
 
I get along with other people my age?
 
Never
 
Sometimes
 
Most times
 
Always
 
 
 
I am good at making friends
 
Never
 
Sometimes
 
Most times
 
Always