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School: Airport Arden Aspen Park Brooklyn Courtenay Elementary Cumberland Elementary Cumberland Jr Denman Island Ecole Puntledge Park Ecole Robb Road Highland Hornby Huband Park Isfeld Lake Trail Miracle Beach Nala'atsi Royston Sandwick Valley View Vanier
Grade: Kindergarten 1 2 3 4 5 6 7 8 9 10 11 12
School Life
1. I participate in student groups at the school (student council, clubs). Yes No
2. I help and do service around the school (like set up for assemblies or read announcements). Yes No
3. I have spoken at assemblies. Yes No
4. I have been a tutor or have mentored other students. Yes No
5. I enjoy giving oral presentations in class. Yes No
6. I participate in activities like drama, student productions or performances. Yes No
7. I am a part of a school sports team. Yes No
8. I go to intramural sports. Yes No
9. I am involved in the Aboriginal cultural events at school. Yes No
10. I take advantage of the school breakfast program. Yes No
11. I have signed up for Aboriginal-focused classes FNS12, Aboriginal Humanities. Yes No
12. I like to be a part of the activities that my school offers like spelling bees, contests and spirit days. Yes No
13. I do my best to treat others with respect. Yes No
Family/Community Life Questions
14. I help with chores at home. Yes No
15. I help with work around the house without being asked. Yes No
16. I get along well with my parents/guardians. Yes No
17. I get along well with other members of my household. Yes No
18. I help relatives or neighbors when a job needs done. Yes No
19. I have someone in my life that I go to for help when I need it. Yes No
20. I have someone in my life that I consider a role model or mentor. Yes No
Individual/Life Questions
21. I have an after school job. Yes No
22. I am involved with groups outside the school like a sports team or club. Yes No
23. I go to a community centre for youth group activities. Yes No
24. I have volunteered my time for a charity or community group. Yes No
25. I am involved in an Aboriginal community program. Yes No
25a. If you answered yes to question 25, please tell us which group:
26. I think about how my decisions will affect other people. Yes No
27. I think that I should accept responsibility for my actions. Yes No
28. I see out challenges and take risks even when there is a chance of failure. Yes No
29. I follow through on promises and commitments that I make. Yes No
The following scenarios ask you to consider how you would act in a given situation. Please select the answer that comes closest to what you would do in each situation.
30. To solve problems I: react in anger run away wait-and-see try to see both sides of the issue actively try to solve the problem in a positive manner other
If you answered other to question 30, please provide more detail:
31. You are part of a group working on a project and no one else is doing any work. What would you most likely do? Stop working as well Do some of the work, but not really care about it. Do your share of the work. Talk to the group about getting to work Talk to your teacher Other
If you answered other to question 31, please provide more detail:
32. Your school is holding elections for student council. What would you most likely do? Vote Not vote Get involved as a candidate. Other
If you answered other to question 32, please provide more detail:
33. You are talking to your friends and one of them refers to people of a different culture by a racist name. What would you most likely do? Nothing - it doesn't bother you Nothing - although you think it is wrong to say things like that Tell your friend that you think it is wrong to say things like that Other
If you answered other to question 33, please provide more detail:
34. You are walking down the hallway and you hear a student saying mean, unfair things to another student. What would you most likely do? Find an adult Not get involved Feel kind of sorry for the other person Tell the student to stop saying things like that Other
If you answered other to question 34, please provide more detail: