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2017
June
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Do you have a part-time job?
Yes
No
How do you perform academically?
Below 50%
50%-60%
60%-70%
70%-80%
Above 80%
What activities do you do on a weekly basis? (Select all that apply)
Work
Play sports
Participate in extracurriculars
Volunteer
Spend time with friends/family
Religious activities
If you answered yes to having a part-time job, how many hours a week do you work?
1-10
10-20
20-30
Above 30
I don't work
Do you feel that you struggle with time management?
Often
Sometimes
Rarely
Never
How do you feel about your job?
I like my job
It's alright
I don't like it
I don't have a job
How do you feel about your studies?
I am a good student
I have stuff to work on
I am not a good student
I don't feel anything about my studies
How much homework do you feel you get in a day?
I get too much
A fair amount
It depends
I get none
Do you do drugs?
Yes
No
Sometimes
I feel ________ about my family relationships. (Select all that apply)
Good
Happy
Upset
Angry
Confused
Comfortable
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