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GIZMO’S PAWESOME EVALUATION SURVEY
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DATE:
(Required.)
*
SCHOOL:
(Required.)
*
GRADE LEVEL:
(Required.)
AGE:
1. Are you a .....?
Boy
Girl
2. What is your race/ethnicity? (Please choose only one).
American Indian
Asian
Black/African-American
Hispanic/Latino
White
Multiracial
For each statement below, please mark what best represents your opinion:
3. Mental health is your feelings, thoughts, and actions.
Agree
Disagree
4. I know when I feel mad, sad, or worried.
Agree
Disagree
5. I know what to do to keep my feelings, thoughts, and actions healthy.
Agree
Disagree
6. I know trusted adults I can talk to about my feelings and thoughts.
Agree
Disagree
7. I feel comfortable talking to a trusted adult about my feelings and thoughts.
Agree
Disagree
8. Who is your trusted adult(s):
Current Progress,
0 of 12 answered