Self-Report Affective Assessment
Directions: Read each statement and decide how true it is for you by marking your choice on the line under the correct answer. Some of the statements are positive and some are negative. Decide whether each statement is true for you. You do not need to put your name on this, and there are no right or wrong answer, so answer honestly please. Mark an X on the space that best answers each statement.
When you are finished, please print your response and place your paper in the blue folder on the table in the back of the room. Your opinion matters to me, so thank you for helping and answering honestly!
Response Statements (one per statement)
|
Very true
for me
|
Not true
for me
|
I’m not
sure
|
1. Mostly, I like learning about the Underground Railroad.
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_____
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_____
|
_____
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2. I like to learn about things that happened in the past.
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_____
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_____
|
_____
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3. I am good at writing stories.
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_____
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_____
|
_____
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4. I don’t care about North Carolina history.
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_____
|
_____
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_____
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5. I don’t like to act in front of the class.
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_____
|
_____
|
_____
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6. I like to make projects in a group.
|
_____
|
_____
|
_____
|
7. I like when we study social studies.
|
_____
|
_____
|
_____
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8. I like to read about stories of slavery.
|
_____
|
_____
|
_____
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9. I like to perform with a group.
|
_____
|
_____
|
_____
|
10. I don’t like to stand up alone.
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_____
|
_____
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_____
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11. I like to research the Underground Railroad on the computer.
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_____
|
_____
|
_____
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12. I like to read books when I have the time.
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_____
|
_____
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_____
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13. I don’t like to play pretend.
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_____
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_____
|
_____
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14. I am not good at taking tests.
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_____
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_____
|
_____
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15. I like to work alone.
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_____
|
_____
|
_____
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16. My teacher has fun things to do for social studies
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_____
|
_____
|
_____
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17. I don’t know how to do homework projects.
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_____
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_____
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_____
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18. I feel comfortable giving my opinion in class.
|
_____
|
_____
|
_____
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19. I like to make up stories in which I am a character.
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_____
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_____
|
_____
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20. My teacher gives me a choice of what I would like to learn.
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_____
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_____
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_____
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21. WebQuests are fun.
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_____
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_____
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_____
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22. Writing on the computer is fun.
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_____
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_____
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_____
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23. I feel safe in class.
|
_____
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_____
|
_____
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E-Mail
Elizabeth Hodgson and Rachel Vogelpohl
!
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