GEM Girls Gather Mid Self-Assessment Survey

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1. Please name the school you attend

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2. Please select what grade you are in

6th Grade

7th Grade

8th Grade

9th Grade

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3. Please select your race/ethnicity

White

Black or African American

Hispanic or Latino

Asian or Asian American

American Indian or Alaska Native

Native Hawaiian or other Pacific Islander

Another race

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4. How did you do last year with your grades?

Earned all 4s=As

Earned mostly 3s and 4s= As and Bs

Earned mostly 2s= C

Earned mostly 1s= D/F range

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5. When you think about yourself, what emotion do you usually feel?

Happy, I love me!

Satisfied most days

Angry, I want to be like someone else

Sad/Confused

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6. I know what it means to have core values?

Yes

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7. I feel like I make good choices

Yes

Sometimes

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8. I am not easily influenced by my peers or friends

Very True

True

Neutral

Sometimes True

Not at all true

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9. My friends make me want to be a better person and make good choices

Very True

True

Neutral

Sometimes True

Not at all true

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10. I know how to tell which positive emotion I am feeling

Very True

True

Neutral

Sometimes True

Not at all true

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11. I know how to tell which negative emotion I am feeling

Very True

True

Neutral

Sometimes True

Not at all true

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12. When someone says something untrue about me I tend to

Get upset

Not respond

Not let it bother me at all

I feel nothing

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13. When I have hurtful emotions (sad, mad, frustrated etc.) I tend to

Let it take over my whole day

Think about why I feel that way

Shut down or do nothing at all

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14. I get confused by my emotions

Very True

True

Neutral

Sometimes True

Not at all true

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15. I believe that I matter

Yes

Sometimes

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16. I believe that I have a purpose

Yes

Sometimes

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17. I use any type of social media

Everyday

A few times a week

Once a week

Monthly

Not at all

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18. After I finish looking at social media for the day I often feel...

Excited

Motivated

Jealous

Sad

Mad

I am not sure, I have not noticed

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19. If using social media makes me feel mad, sad, or jealous I often take a break and remove my social media

Strongly agree

Agree

Somewhat agree

Neither agree nor disagree

Somewhat disagree

Disagree

Strongly disagree

GEM Girls Gather Mid Self-Assessment Survey

Question Title

* 1. Please name the school you attend

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* 2. Please select what grade you are in

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* 3. Please select your race/ethnicity

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* 4. How did you do last year with your grades?

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* 5. When you think about yourself, what emotion do you usually feel?

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* 6. I know what it means to have core values?

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* 7. I feel like I make good choices

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* 8. I am not easily influenced by my peers or friends

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* 9. My friends make me want to be a better person and make good choices

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* 10. I know how to tell which positive emotion I am feeling

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* 11. I know how to tell which negative emotion I am feeling

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* 12. When someone says something untrue about me I tend to

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* 13. When I have hurtful emotions (sad, mad, frustrated etc.) I tend to

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* 14. I get confused by my emotions

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* 15. I believe that I matter

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* 16. I believe that I have a purpose

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* 17. I use any type of social media

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* 18. After I finish looking at social media for the day I often feel...

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* 19. If using social media makes me feel mad, sad, or jealous I often take a break and remove my social media

1. Please name the school you attend

2. Please select what grade you are in

3. Please select your race/ethnicity

4. How did you do last year with your grades?

5. When you think about yourself, what emotion do you usually feel?

6. I know what it means to have core values?

7. I feel like I make good choices

8. I am not easily influenced by my peers or friends

9. My friends make me want to be a better person and make good choices

10. I know how to tell which positive emotion I am feeling

11. I know how to tell which negative emotion I am feeling

12. When someone says something untrue about me I tend to

13. When I have hurtful emotions (sad, mad, frustrated etc.) I tend to

14. I get confused by my emotions

15. I believe that I matter

16. I believe that I have a purpose

17. I use any type of social media

18. After I finish looking at social media for the day I often feel...

19. If using social media makes me feel mad, sad, or jealous I often take a break and remove my social media