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Surveys and Questionnaires from the North Platte Public Schools


The following are surveys/questionnaires given to students and/or given to parents of students in the North Platte Public Schools. Note how these deal with attitudes/values of the students/families. After reading these, obtain a copy of the Grassley Amendment and the Hatch Amendment to find out what information you do not have to provide or what kinds of surveys you do not have to complete.


Given to my daughter in "Positive Lifestyles" class, Adams Middle School, 1996-1997. The two statements were paired with each other; one on the left and one on the right. Each student was to rate on a scale of 1 to 5 which statement described them best.

HOW I SEE MYSELF

Developed by Ira J Gordon, Director, Institute for Development of Human Resources, College of Education, University of Florida, Gainesville, Florida

1. Nothing gets me too mad.....I get mad easily and explode

2. I stay with things and finish them.....I don't stay with something till I finish

3. I'm very good at drawing.....I'm not much good in drawing

4. I like to work on committees, projects.....I don't like to work with others

5. I'm just the right height.....I wish I were taller

6. I don't worry a lot.....I worry much

7. My hair is nice looking.....I wish I could do something with my hair

8. Teachers like me.....Teachers don't like me

9. I've lots of energy.....I haven't much energy

10. I play games very well.....I don't play games very well

11. I'm just the right weight.....I wish I were heavier, lighter

12. My friends like me and include me.....My friends like me a lot but don't include me

13. I'm very good at speaking before a group.....I'm not much good at speaking before a group

14. My face is pretty (good looking).....I wish I were prettier (better looking)

15. I'm very good in music.....I'm not much good in music

16. I get along well with teachers.....I don't get along with teachers

17. I like my teachers.....I don't like my teachers very much

18. I feel at ease, comfortable inside.....I don't feel very at ease, comfortable inside

19. I like to try new things.....I don't like to try new things

20. I can handle my feelings.....I have trouble controlling my feelings

21. I do well in school work.....I don't do well in school

22. I want more people to like me.....I don't want more people to like me

23. I like the way I look.....I don't like he way I look

24. I care if my teachers like me.....I don't care if my teachers like me

25. I'm very healthy.....I get sick a lot

26. I dance well.....I'm not a good dancer

27. I write well.....I don't write well

28. I like to work alone.....I don't like to work alone

29. I use my time well.....I don't know how to plan my time

30. I'm good at making things with my hands.....I'm not very good at making things with my hands

31. My skin is nice looking.....I wish I could do something about my skin

32. School is very interesting to me.....School is not very interesting

33. I do mathematics well.....I'm not good in mathematics

34. I'm smarter than most of the others.....I'm not good in mathematics

35. The teachers call on me a lot and choose me.....The teachers don't call on me and leave me out

36. My clothes are nice.....My clothes are not as nice as I'd like

37. I like school.....I don't like school

38. I'm happy with the way I am.....I wish I were built like the others

39. I read well.....I don't read very well

40. I learn new things easily.....I don't learn new things easily


The following was sent home to parents of North Platte public schools elementary students in 1997:

NORTH PLATTE PUBLIC SCHOOLS K-5 GUIDANCE & COUNSELING NEEDS ASSESSMENT

Instructions: Please rate each numbered item below as to the need you believe it deserves. Please use the following scale:

1. Strongly agree that it is needed and should be provided by the elementary guidance and counseling program

2. Agree that it is needed and should be provided by the elementary guidance and counseling program

3. Unsure whether it is needed and should be provided by the elementary guidance and counseling program

4. Disagree that it is needed and should be provided by the elementary guidance and counseling program

5. Strongly disagree that it is needed and should be provided by the elementary guidance and counseling program

To understand themselves more, elementary guidance counselors should teach students:

1. how to personally take care of themselves both physically and mentally

2. how they are alike and also different from others

3. how to effectively manage themselves, their time, and their environment

To enhance relations with others, elementary guidance counselors should teach students:

1. skills that help them with their relationships with their families, peers, and other adults

2. how their actions have effects on themselves and others

3. what stereotyping is and the effects of stereotyping

To express themselves more effectively, elementary guidance counselors should teach students:

1. various methods of expressing feelings

2. listening and speaking skills

To help them achieve, elementary guidance counselors should teach students:

1. how to plan and set goals

2. how to analyze, accomplish, and evaluate tasks for achieving a goal

To gain a more understanding of rights and responsibilities of self and others, elementary guidance counselors should teach students:

1. of the rights and responsibilities of themselves

2. of the rights and responsibilities of family members

3. of the rights and responsibilities of other students and adults in the school

4. of the rights and responsibilities of a world society

To handle conflicts with others, elementary counselors should teach students:

1. the problem solving process and how it may help them solve conflicts

2. when it is necessary to get help to solve a conflict and how to get that help

3. how to expect and cope with change

To learn good decision-making skills, elementary guidance counselors should teach students:

1. how values affect their lives

2. the decision-making process

3. how to use the decision-making process and how past decisions affect present decisions