Post-Program Student Evaluation (LAKEWOOD 2018-2019) For each question, please click on the answer that best describes you and your feelings. Thank you! Question Title * 1. Please enter the following information: Name of your SCHOOL Your age Your Gender Your Classroom Teacher's Name Question Title * 2. Do you currently participate in a dance class or performing class outside of school? yes no Question Title * 3. Overall, How do you feel about coming to school? bad a little bad no feelings/ neutral good great! bad a little bad no feelings/ neutral good great! Question Title * 4. How do you feel about what you're able to accomplish at school? bad a little bad no feelings/ neutral good great! bad a little bad no feelings/ neutral good great! Question Title * 5. On an average day of school, how well do you pay attention in class? I don't pay attention at all I pay attention a little I pay attention about half the time I pay attention most of the time I pay attention all of the time I don't pay attention at all I pay attention a little I pay attention about half the time I pay attention most of the time I pay attention all of the time Question Title * 6. This question is about you and how you feel about yourself. How much self-confidence do you have? none/ I feel bad about myself a little no feelings/ neutral I have self-confidence I have a lot of self-confidence/ I feel really great about myself! none/ I feel bad about myself a little no feelings/ neutral I have self-confidence I have a lot of self-confidence/ I feel really great about myself! Question Title * 7. How much do you exercise? never rarely sometimes often all the time never rarely sometimes often all the time Question Title * 8. How do you feel about exercising? bad a little bad no feelings/ neutral good great! bad a little bad no feelings/ neutral good great! Next