Evaluation

The purpose of this survey is to tell how you feel about school. Your ratings and comments will help us a great deal.

Directions: Please check the number that best indicates your feelings about each of the items below. Please write any comments you may have on the back of this evaluation form.

Student, please check one of these boxes:

As a student,

1. I admire others who do well in their school work.

1 2 3 4 5

2. I enjoy learning at school.

1 2 3 4 5

3. I behave well in my school classes.

1 2 3 4 5

4. I pay attention to my teachers.

1 2 3 4 5

5. I find it easy to ask questions when I need help in my school work.

1 2 3 4 5

6. I want to do my best work at school.

1 2 3 4 5

7. I enjoy being with other students at school.

1 2 3 4 5

8. I enjoy working with my teachers.

1 2 3 4 5

9. I like school.

1 2 3 4 5

10. I like myself.

1 2 3 4 5

5=Strongly Agree

1=Strongly Disagree

Students, please do not write anything below

Teacher/counselor, please check one of these boxes:

Student Identification Number

Date

TOTAL SCORE