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* 1. Students PATH ID #

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* 2. Are you male or female?

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* 3. What is your age?

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* 4. What is your ethnic/racial background?

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* 5. Use the scale at the beginning and the end of the group year to assess how often this member exhibits each behavior listed below
0=never or almost never, 1=rarely; 2=sometimes,3=often,4=very often,5= almost always.

  Aggression/ Disruptive behavior Pre Curriculum
Takes other's property
Yells at others during conflicts
Fights
Is stubborn
Loses temper when there is a disagreement
Lies
Breaks group rules
Teases Groupmembers
Harms others
Easily irritated whe he/she has trouble with some task (reading, Math, etc)
Is disliked by groupmembers/ classmates
Rejects limits set by adults
Handles disagreements in a negative way
Gets angry when provoked by others
Aggression/ Disruptive behavior

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* 6. POST CURRICULUM: Same Question as Above

  Aggression/ Disruptive behavior Post Curriculum
Takes other's property
Yells at others during conflicts
Fights
Is stubborn
Loses emper when there is a disagreement
Lies
Breaks group rules
Teases Groupmembers
Harms others
Easily irritated whe he/she has trouble with some task (reading, Math, etc)
Is disliked by groupmembers/ classmates
Rejects limits set by adults
Handles disagreements in a negative way
Gets angry when provoked by others
Aggression/ Disruptive behavior

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* 7. 0=never or almost never;1=rarely,2=sometimes;3=often;4=very often,5=almost always

  Social and emotional competence Pre Curriculum
Feels at ease to talk to you
Shows empathy and compassion for other's feelings
Is liked by classmates
Provides help, shares mateials, and acts cooperatively with ohters
Takes turns, plays fair, and follows rules of the activity
Listens carefully to others
Initiates interactins and joins in with others in a positive manner
Recognizes and labels his/her feelings and those of others appropriately

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* 8. POST CURRICULUM: Same Question as Above

  Aggression/ Disruptive behavior Post Curriculum
Feels at ease to talk to you
Shows empathy and compassion for other's feelings
Is liked by classmates
Provides help, shares mateials, and acts cooperatively with ohters
Takes turns, plays fair, and follows rules of the activity
Listens carefully to others
Initiates interactins and joins in with others in a positive manner
Recognizes and labels his/her feelings and those of others appropriately

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