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* 1. Date

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* 2. Name

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* 3. Grade

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* 4. Gender

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* 5. Which of the following groups do you most identify with?

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* 6. The main language spoken in my home is English

Please check the answer below that best describes what you think about the statement. Simply tell us how much you DISAGREE or AGREE with the following statements. This is not a test and you will not be graded for answering these questions.

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* 7. Science is something I get excited about

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* 8. I like to participate in science projects.

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* 9. I like to see how things are made (for example, ice-cream, a TV, an IPhone, energy etc.).

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* 10. I am curious to learn about science, computers or technology.

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* 11. I want to understand science (for example, to know how computers work, how rain forms, or how to fly airplanes).

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* 12. I get excited about learning about new discoveries or inventions.

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* 13. I pay attention when people talk about recycling to protect our environment.

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* 14. I am curious to learn more about cars that run on electricity.

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* 15. I would like to have a science or computer job in the future

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* 16. I like online games or computer games that teach me about science.

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* 17. Science is boring.

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* 18. I do science-related activities that are not for school work.

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* 19. I like science.

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* 20. Making an effort in science is worth it because it will help me in the work that I want to do later on.

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* 21. Learning science is worthwhile for me because it will improve my career prospects/chances.  

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* 22. Science is an important subject for me because I need it for what I want to study later on.

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* 23. I will learn many things in science that will help me get a job.

Please indicate how informed (knowledgeable) you are about these topics.

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* 24. Science and technology related careers that are available in the job market.

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* 25. Where to find information about science and technology related careers.

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* 26. The steps that I need to take if I want a science and technology related careers.

How important is each of the following to you? Please check one for each line.

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* 27. Getting good grades in school.

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* 28. Completing your homework every night.

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* 29. Paying close attention to what your teachers are saying.

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* 30. Learning everything your teachers are trying to teach you in school.

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* 31. Attending school every day and not missing any classes.

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* 32. Graduating from high school.

Please indicate how strongly you Agree or Disagree with the following statements.

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* 33. I enjoy reading about things which disagree with my previous ideas.

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* 34. I dislike repeating experiments to check that I get the same results.

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* 35. I am curious about the world in which we live.

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* 36. Finding out about new things is unimportant.

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* 37. I like to listen to people whose opinions are different from mine.

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* 38. I find it boring to hear about new ideas.

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* 39. In science experiments, I like to use new methods which I have not used before.

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* 40. I am willing to change my ideas even if evidence shows that the ideas are poor.

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* 41. In science experiments, I report unexpected results as well as expected ones.

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* 42. I dislike listening to other people's opinions.

Thinking about how you feel today compared to the beginning of this program...

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* 43. I have friends I can trust.

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* 44. There are adults I look up to and admire.

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* 45. If the way I'm doing something isn't working I try to think of different ways to do it.

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* 46. If I fail to solve a problem, I will try again until I find the solution.

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* 47. I am popular with other kids.

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* 48. I discuss my problems with adults.

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* 49. I think carefully before believing things people tell me.

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* 50. I work hard to achieve goals even if things get in the way.

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* 51. I have friends who care about me.

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* 52. There are adults that I can talk to about my problems.

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* 53. I like to think of different ways to solve a problem.

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* 54. I keep working even if it takes longer that I thought it would.

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* 55. I get along well with people my age.

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* 56. There are adults who are interested in what I have to say.

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* 57. I like to figure out how things work.

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* 58. When I try to accomplish something, I achieve it.

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* 59. When I see another kid who is hurt or upset, I feel sorry for them.

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* 60. I think about the future of the world.

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* 61. Exercise is important to me.

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* 62. I think a lot about how I can make a difference in the world.

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* 63. I defend myself against unfair rules.

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* 64. I like being active.

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* 65. I feel bad for other kids who feel sad or have problems.

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* 66. I stand up for things that matter to me.

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* 67. I say what I think even if adults or friends disagree.

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