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Attitudes & Behaviors Survey

1

Your answers on this questionnaire will be kept strictly confidential. No one will be able to find out how you or anyone else answered. Your school or program will receive a report that combines many students' answers together. Therefore, no one will be able to connect your answers with your name.

This is not a test you take for grades. You are just being asked to tell about yourself, your experiences, and your feelings. Please be as honest as you can.
Note: Some question numbers may be skipped based on answers to previous questions or for other reasons.
1. 1. How old are you?
2. 2. What is your grade in school?
3. Which of the following best describes you?
3. 3. Which of the following best describes you?
4. Would you say that you are ... ?
4. 5. How do you describe yourself? Please mark each that applies to you from this list:
5. How do you describe yourself? Please mark each that applies to you from this list:
Some of the questions in this survey ask about your parents.  In this survey, "parents" (and "father" or "mother" refer to the adults who are now most responsible for raising you. They could be foster parents, stepparents, or relative/guardians. If you live in a one-parent family, answer for that adult.
5. 6. Which of the following best describes your family?