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* 1. Grade Level

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* 2. Choose one:

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* 3. I use things I learn in school outside of school.

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* 4. My teacher teaches things I am interested in.

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* 5. I sometimes fake read.

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* 6. Sometimes I don't want to stop reading.

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* 7. I read at home.

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* 8. I like working on math problems.

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* 9. When I'm working on math problems in my classroom, sometimes I don't want to stop.

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* 10. I can use what I learn in math at home.

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* 11. I like writing.

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* 12. Sometimes I don't want to stop writing.

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* 13. I write at home.

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* 14. I know what my teacher loves to learn about.

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* 15. My teachers make me believe I can do anything when I grow up.

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* 16. I feel bored at school.

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* 17. My teacher knows about things I do outside of school.

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* 18. I like the work we do at school.

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* 19. I know that my teacher loves teaching.

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* 20. I get to think and explain my ideas in class.

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* 21. My teacher notices my work in class.

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* 22. I feel like my ideas are important.

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* 23. I feel that I am getting a good education.

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* 24. I feel that I get help when I need it.

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* 25. My school is a happy place to be.

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* 26. I feel safe when I am at school.

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* 27. My teachers care about me.

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* 28. My teachers listen to my ideas an opinions.

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* 29. I enjoy reading.

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* 30. I read in school every day.

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* 31. Every day my teacher explains what I will be learning.

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* 32. I write in writer's workshop every day.

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* 33. I solve math problems every day.

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