Mid - Term Test for 4th and 5th Grades at Fairplain East January 2025
*
1.
What is your grade?
(Required.)
4th Grade
5th Grade
*
2.
What is your age?
(Required.)
eight
nine
ten
eleven
twelve
*
3.
How often were you kind to other students in the last 30 days?
(Required.)
Almost never
Once in awhile
Often
Almost all the time
*
4.
How often did you feel anxious or nervous in the last 30 days?
(Required.)
Almost Never
Once in a while
Often
Almost all the time
*
5.
How often did you feel sad or down in the last 30 days
(Required.)
Almost Never
Once in awhile
Often
Almost all the time
*
6.
How likely are you to hurt yourself on purpose/commit suicide in the future?
(Required.)
Very Likely
Likely
Unlikely
Very Unlikely
*
7.
How much were you respectful to your teacher in the last 30 days?
(Required.)
Almost Never
Once in a while
Often
Almost all the time
*
8.
How important is it to you to be clean and take a shower or bath regularly?
(Required.)
No importance
Very little importance
More importance
Great Importance
*
9.
How likely are you to use drugs in the future like lean, crack, cocaine, heroin, crystal meth, or others that aren't prescribed for you, or inhale things to get a feeling from them?
(Required.)
Very Likely
Likely
Unlikely
Very Unlikely
*
10.
Do you think you might drink alcohol before you're old enough?
(Required.)
yes
no
*
11.
How likely are you to smoke cigarettes, use marijuana, or vape in the future?
(Required.)
Very Likely
Likely
Unlikely
Very Unlikely
12.
How often have you acted out on your anger and hit, kicked or pushed someone in the last 30 days?
Never
Once in awhile
Often
Almost all the time
*
13.
How much do you believe in yourself?
(Required.)
Very Little Belief
Little Belief
More Belief
Great Belief
14.
Do you consider yourself a good person?
Yes
No
*
15.
How likely are you to speak or perform in front of other students? (circle one)
(Required.)
Very Likely
Likely
Unlikely
Very Unlikely
*
16.
Do you believe that you matter and your life is important?
(Required.)
Yes
No
*
17.
Do you plan to go to college, a trade school or vocational school?
(Required.)
Yes
No
*
18.
Do you love yourself?
(Required.)
Yes
No
*
19.
How often are you able to calm yourself down when you are angry?
(Required.)
Almost never
Once in awhile
Often
Almost all the time
*
20.
How often do you make responsible choices?
(Required.)
Almost never
Once in awhile
Often
Almost all the time
*
21.
How likely are you to seek after your dreams?
(Required.)
Very Likely
Likely
Unlikely
Very Unlikely
22.
Are you planning to stay in school until you graduate high school?
Yes
No
*
23.
How much hope do you have for a bright future?
(Required.)
No Hope
Little Hope
More Hope
Great Hope
24.
Do you believe dreams can come true?
Yes
No
25.
Who is your teacher?
