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Me and My World

1

This is not a test you take for school grades. You are being asked to tell about yourself, your feelings, and the things you do.

Your school will get a report that puts all students' answers together. No one will know how you answered these questions.

Thank you for filling out this survey honestly and carefully. Your answers will help the adults you know make your world a better place for you.
1. 1. How old are you?
2. 2. What grade are you in at school?
3. 3. Are you a boy or a girl?
4. 4. How do you describe yourself?
Please choose one or more that apply to you from this list:
5. 4. How do you describe yourself?
Please choose one or more that apply to you from this list:
In this survey, parent or parents means the adults most responsible for taking care of you.
5. 5. Which one of the following best describes your family?