Lifeskills Student Survey 2009-2010

Please respond to the following items indicating your disagreement or agreement with them. There are no right or wrong responses.

1 Not at all
2 A little
3 Somewhat
4 Quite a bit
5 Definitely in full agreement
Name (optional): 


  1. I know what strategies cigarette and alcohol companies use to try and convince me to use their product.
    Not at all
    A little
    Somewhat
    Quite a bit
    Definitely in full agreement


  1. I feel well organized and prepared for school assignments.
    Not at all
    A little
    Somewhat
    Quite a bit
    Definitely in full agreement


  1. I feel well organized and prepared for extracurricular activities.
    Not at all
    A little
    Somewhat
    Quite a bit
    Definitely in full agreement


  1. I know several strategies I can use to calm down when I am anxious.
    Not at all
    A little
    Somewhat
    Quite a bit
    Definitely in full agreement


  1. I know several strategies I can use to calm down when I am angry.
    Not at all
    A little
    Somewhat
    Quite a bit
    Definitely in full agreement


  1. I use active listening skills when communicating with my friends and family.
    Not at all
    A little
    Somewhat
    Quite a bit
    Definitely in full agreement


  1. I assertively respond to peer pressure.
    Not at all
    A little
    Somewhat
    Quite a bit
    Definitely in full agreement


  1. I use a decision making process when making decisions.
    Not at all
    A little
    Somewhat
    Quite a bit
    Definitely in full agreement


  1. I know where to research career information.
    Not at all
    A little
    Somewhat
    Quite a bit
    Definitely in full agreement


  1. I successfully work out conflict with others.
    Not at all
    A little
    Somewhat
    Quite a bit
    Definitely in full agreement


  1. I am confident I will stay alcohol free all the way through high school.
    Not at all
    A little
    Somewhat
    Quite a bit
    Definitely in full agreement


  1. I am confident I will stay drug free.
    Not at all
    A little
    Somewhat
    Quite a bit
    Definitely in full agreement





Donna Lubbers