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Check In and Check Ups

 

How do you rate yourself in the following areas?          Date: ______________________

 

1. Barely think about it.  2. My efforts are few.  3. No opinion   4. Working on it.   5. Accomplished

 

                  1                          2                                 3                      4                                 5

 

Developing into a “man” physically.                                                               _____

 

Developing into a “man” responsibly.                                                             _____

 

Exploring personal beliefs.                                                                             _____

 

Recognizing personal goals.                                                                          _____

 

Obeying rules where I live.                                                                             _____

           

Learning to use new words.                                                                           _____

 

Learning how decisions at school are made.                                                 _____

 

Knowing names of leaders of our city.                                                           _____

                                   

Recognizing names of state leaders.                                                             _____

 

Writing or talking to local leaders.                                                                  _____

 

Giving opinions at meetings.                                                                          _____

 

Knowing how I learn best.                                                                              _____

 

Writing down things I need to remember.                                                      _____

 

Learning a new word every day.                                                                    _____

 

Getting rid of my fear of mathematics.                                                           _____

 

Learning how to write so people understand.                                                _____

 

Learning how to find meanings of new words.                                               _____

           

Learning what I like about this city.                                                                _____

 

Learning what I want to do five years from now.                                           _____

 

Learning how to ask questions easily in school.                                            _____

 

Having an opinion that no one agrees with.                                                   _____       Total Score ____

         

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