Congratulations! You have been participating in our Mindfulness Program. Now let's complete a short 5-minute survey.
*Teachers, please read through our questions and identify any wording that your students may need help with.


Hello students,

For each question choose the answer that feels like the best match for you. We appreciate your honest answers and remember with this survey, all answers are right!

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1. My Teacher

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2. My School

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3. What grade are you in? (Required.)

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4. I enjoy doing activities that help me feel relaxed at school (Required.)

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5. I worry a lot about things

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6. I feel good about myself (Required.)

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7. I feel calm (Required.)

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8. I feel stressed (Required.)

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9. I find it difficult to focus and pay attention in class (Required.)

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10. I rush through activities without paying close attention to them (Required.)

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11. I find it difficult to fall asleep at bedtime (Required.)

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12. When I'm feeling angry, sad or upset I try and push these feelings away (Required.)

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13. I react easily or overreact when I'm upset, angry, or when things don't go my way (Required.)

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14. While doing school work I am easily distracted (Required.)

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15. I think some of my emotions are bad  and I shouldn't feel them (Required.)

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16. I am grateful for the opportunities I have in my life (Required.)

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17. I can calm myself in challenging situations (Required.)

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18. I can turn challenges into opportunities to learn about myself (Required.)

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19. When I am struggling I am kind and encouraging to myself (Required.)

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20. When others are struggling I am kind and encouraging to them (Required.)

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21. I am respectful to teachers, other students and people I meet outside of school. (Required.)

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22. Everyone in my class is mostly kind, respectful and caring towards one another (Required.)

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23. I feel that my classroom is both a happy and calm place to come everyday (Required.)

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