Airport SEL Survey
Questions
Age:
Grade:
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
Gender:
Male
Female
Teacher:
During the past 30 days...
Almost never
Once in a while
Sometimes
Often
Almost all the time
How often did you follow directions in class?
Almost never
Once in a while
Sometimes
Often
Almost all the time
How often did you get your work done right away, instead of waiting until the last minute?
Almost never
Once in a while
Sometimes
Often
Almost all the time
How often did you pay attention and ignore distractions?
Almost never
Once in a while
Sometimes
Often
Almost all the time
When you were working by yourself, how often did you stay focused?
Almost never
Once in a while
Sometimes
Often
Almost all the time
How often did you remain calm, even when someone was bothering you or saying bad things?
Almost never
Once in a while
Sometimes
Often
Almost all the time
How often did you allow others to speak without interrupting them?
Almost never
Once in a while
Sometimes
Often
Almost all the time
How often were you polite to adults?
Almost never
Once in a while
Sometimes
Often
Almost all the time
How often were you polite to other students?
Almost never
Once in a while
Sometimes
Often
Almost all the time
How often did you keep your temper under control?
Almost never
Once in a while
Sometimes
Often
Almost all the time
During the past 30 days...
How carefully did you listen to other people's points of view?
Not carefully at all
Slightly carefully
Somewhat carefully
Quite carefully
Extremely carefully
How much did you care about other people's feelings?
Did not care at all
Cared a little bit
Cared somewhat
Cared quite a bit
Cared a tremendous amount
How often did you compliment others' accomplishments?
Almost never
Once in a while
Sometimes
Often
Almost all the time
How well did you get along with students who are not your friends?
Did not get along at all
Got along a little bit
Got along somewhat
Got along pretty well
Got along extremely well
When others disagreed with you, how respectful were you of their views?
Not at all respectful
Slightly respectful
Somewhat respectful
Quite respectful
Extremely respectful
How much were you able to stand up for yourself without putting others down?
Not at all
A little bit
Somewhat
Quite a bit
A tremendous amount
How much were you able to disagree with others without starting an argument?
Not at all
A little bit
Somewhat
Quite a bit
A tremendous amount
How often are you able to pull yourself out of a bad mood?
Almost never
Once in a while
Sometimes
Often
Almost all the time
When everybody around you gets angry, how relaxed can you stay?
Not relaxed at all
Slightly relaxed
Somewhat relaxed
Quite relaxed
Extremely relaxed
How often did you pay attention and ignore distractions?
Almost never
Once in a while
Sometimes
Often
Almost all the time
How often are you able to control your emotions when you need to?
Almost never
Once in a while
Sometimes
Often
Almost all the time
Once you get upset, how often can you get yourself to relax?
Almost never
Once in a while
Sometimes
Often
Almost all the time
When things go wrong for you, how calm are you able to stay?
Almost never
Once in a while
Sometimes
Often
Almost all of the time
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