Pre-Course Survey

All answers are confidential and are being used to assess what your experience with CMH has taught you and if the programs are as effective as they can be in order to make the largest impact.

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* 1. What is the name of your school?

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* 2. What grade are you in?

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* 3. I feel safe at this school.

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* 4. I feel my teachers are safe at this school.

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* 5. Bullying is a problem in my class.

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* 6. What is empathy?

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* 7. I think about the impact that my behavior has on others.

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* 8. I recognize when others are distressed even if they don’t say anything.

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* 9. When a friend starts to talk about his or her problems, I listen.

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* 10. It upsets me to see someone being treated unfairly.

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* 11. I feel connected to people around my country and believe my actions can affect them.

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* 12. I am interested in learning about other people and places in the United States.

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* 13. If I had the opportunity, I would help others, regardless of their nationality.

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* 14. It is my responsibility to understand and respect differences as best I can.

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* 15. When I see someone being bullied, I know what to do or say to make it stop.

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* 16. What do you understand about empathy?

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* 17. Why is empathy important?

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* 18. What would the world be like with no empathy?

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* 19. What do you think you will learn from this program?

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