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* 1. First Name

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* 2. Last Name

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* 3. School

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* 4. I like hanging out around where I live (like my neighborhood).

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* 5. Spending time with friends is not so important to me.

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* 6. I can name 5 things that my friends like about me.

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* 7. My family has fun together.

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* 8. I have a lot of fun with my brother(s) or sister(s). (Leave blank if you have none).

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* 9. I work hard at school.

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* 10. My classmates often bother me.

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* 11. I care what my teachers think of me.

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* 12. I will have a good future.

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* 13. I enjoy spending time by myself reading.

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* 14. I spend a lot of time with kids around where I live.

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* 15. I have friends I'm really close to and trust completely.

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* 16. There is not much that is unique or special about me.

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* 17. It is important that my parents trust me.

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* 18. I feel close to my brother(s) or sister(s). (Leave blank if you have none)

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* 19. I enjoy being at school.

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* 20. I like pretty much all of the other kids in my grade.

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* 21. I do not get along with some of my teachers.

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* 22. Doing well in school will help me in the future.

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* 23. I like to read.

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* 24. I get along with the kids in my neighborhood.

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* 25. Spending time with friends is a big part of my life.

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* 26. I can name 3 things that other kids like about me.

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* 27. I enjoy spending time with my parents.

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* 28. I enjoy spending time with my brothers/sisters. (Leave blank if you have none).

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* 29. I get bored in school a lot.

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* 30. I like working with my classmates.

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* 31. I want to be respected by my teachers.

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* 32. I do things outside of school to prepare for my future.

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* 33. I never read books in my free time.

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* 34. I often spend time playing or doing things in my neighborhood.

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* 35. My friends and I talk openly with each other about personal things.

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* 36. I really like who I am.

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* 37. My parents and I disagree about many things.

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* 38. I try to spend time with my brothers/sisters when I can. (Leave blank if you have none).

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* 39. I do well in school.

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* 40. I try to get along with the other students in my classes.

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* 41. i try to get along with my teachers.

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* 42. I do lots of things in school to prepare for my future.

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* 43. I often read when I have free time.

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* 44. I hang out a lot with kids in my nieghborhood.

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* 45. I spend as much time as I can with my friends.

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* 46. I have special hobbies, skills, or talents.

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* 47. My parents and I get along well.

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* 48. I try to avoid being around my brother/sister. (Leave blank if you have none).

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* 49. I feel good about myself when I am at school.

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* 50. I am liked by my classmates.

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* 51. I always try hard to earn my teachers' trust.

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* 52. I think about my future often.

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* 53. I usually like my teachers.

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* 54. My neighborhood is boring.

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* 55. My friends and I spend a lot of time talking about things.

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* 56. I have unique interests or skills that make me interesting.

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* 57. I care about my parents very much.

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* 58. What I do now will not affect my future.

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* 59. Doing well in school is important to me.

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* 60. I rarely fight or argue with the other kids at school.

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* 61. What have you learned through your relationship with your mentor?

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* 62. Has your relationship changed how you feel about yourself? How you feel about school? If so, in what ways?

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* 63. Has the CAP program helped you academically? If so, how?

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* 64. Is there anything else you want us to know about this program, your experience in it, or your mentor? If so, what?

 
100% of survey complete.

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