Student Self-Assessment

Respond to each question quickly and honestly. You do not need to be exact; go with your "gut feeling." Responses are anonymous!


  1. In this class, I feel...
     
      1 2 3 4 5  
    imaginative  unimaginative


  1. In this class, I feel...
     
      1 2 3 4 5  
    focused  unfocused


  1. In this class, I feel...
     
      1 2 3 4 5  
    relaxed  nervous


  1. In this class, I feel...
     
      1 2 3 4 5  
    in self-control  without self-contol


  1. In this class, I feel...
     
      1 2 3 4 5  
    positive  negative


  1. In this class, I feel...
     
      1 2 3 4 5  
    passive  aggessive


  1. In this class, I feel...
     
      1 2 3 4 5  
    calm  hyper


  1. In this class, I feel...
     
      1 2 3 4 5  
    interested  bored


  1. In this class, I feel...
     
      1 2 3 4 5  
    confident  insecure


  1. In this class, I feel...
     
      1 2 3 4 5  
    clear-minded & sharp  foggy & dull


  1. In this class, I feel...
     
      1 2 3 4 5  
    awake  sleepy


  1. In this class, I feel...
     
      1 2 3 4 5  
    organized  disorganized


  1. In this class, I feel...
     
      1 2 3 4 5  
    prepared  unprepared


  1. In this class, I feel...
     
      1 2 3 4 5  
    valued  ignored


  1. Rate your response to the following statement: I learn easily.
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. Rate your response to the following statement: I understand what's going on in this class.
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. Rate your response to the following statement: I feel like an important and valued member of this classroom.
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. Rate your response to the following statement: I am in control of my behavior in this classroom.
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. Rate your response to the following statement: I feel "safe" and can be myself in this classroom.
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. Rate your response to the following statement: stretching and exercise improve focus
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. It would help Mrs. Sinanian if she knew this about me...


  1. It would help Mrs. Sinanian if she knew this about the class...





Mrs. Sinanian
Chickahominy Middle School
Mechanicsville, VA