Story Art Pre Assessment
Pre Assessment to be completed by students participating in the Story Art Workshop. This Pre Assessment will take about 20 to 30 minutes to complete. Do not over think the questions. Answer as honestly as you can, but you should typically choose the answer that first comes to your mind.
Email address *
Demographics
The information you share with us will remain confidential. However, for us to track changes that occur to participants over the course of this workshop, we need to be able to identify your pre and post assessment answers.
Name (last, first) *
Your answer
Location of Workshop *
Your answer
What is today's date *
MM
/
DD
/
YYYY
Age *
Your answer
I am currently a _______________ *
Self Reflection
This section allows you to look inside yourself. Please answer as honestly as you can. The best way a person can become comfortable and face the future is to know yourself.
How well do you know yourself? *
Not very well
Very well
How confident are you? *
Not very confident
Very confident
How prepared are you for the future? *
Not very prepared
Very prepared
Do you ever feel anxious or worried about your future? *
Is it hard for you to express yourself even though you know what you want to say? *
Do you sometimes feel misunderstood? *
Do you sometimes feel alone even when you are surrounded by people? *
Do you feel like crying when you are alone and not always sure why? *
Do you feel a lot of pressure to succeed or be the best? *
Do you know what you want to do after high school? *
Are you excited about what the future holds, but at the same time feel worried that you won't meet expectations? *
When you are struggling, do you know how to get help? *
Life Routines
This section allows you to look at how you organize your time, life, and habits. Answer as honestly as you can. Use the last 6 months to make your assessments. Knowing this information about yourself will help you make wise decisions as you make scheduling choices in your future.
Think about your eating habits during the last 6 months. I eat______ *
Daily
5-6 Days a Week
3-4 Days a Week
1-2 Days a Week
Depends
Never
breakfast
lunch
dinner
snack(s)
vegetables
meat
fruits
junk food
I eat ___________ *
I eat MORE or LESS junk food than nutritional food. *
Think about your sleeping habits during the last 6 months. I sleep ______ hours a night. *
Daily
5-6 Days a Week
3-4 Days a Week
1-2 Days a Week
Depends
Never
Less than 5 hours
5.5 hours to 6 hours
6.5 hours to 7 hours
7.5 hours to 8 hours
More than 8 hours
I usually go to bed at ____________ *
Daily
5-6 Days a Week
3-4 Days a Week
1-2 Days a Week
Depends
Never
before 8 p.m.
between 8 p.m. and 8:30 p.m.
between 8:30 p.m. and 9:00 p.m.
between 9:00 p.m. and 9:30 p.m.
between 9:30 p.m. and 10:00 p.m.
between 10:00 p.m. and 10:30 p.m.
between 10:30 p.m. and 11:00 p.m.
between 11:00 p.m. and 11:30 p.m.
between 11:30 p.m. and 12 midnight
after midnight
I have a bedtime routine that I follow every night before I go to bed. *
Describe the bedtime routine that you follow each night before you go to bed. *
Your answer
Which of the following subjects IS your favorite? Choose only one. *
Explain in detail why this subject is your favorite. *
Your answer
Which of the following subjects is your LEAST favorite? Choose only one. *
Explain in detail why this subject is your least favorite. *
Your answer
Think about your homework habits for the last 6 months. I do my homework _________. Check all answers that apply to you. *
Required
I spend __________ amount of time doing my homework. *
Think about your homework habits over the last 6 months. Which of the following is most like you? *
Do you wish you could do your homework without anyone forcing you? *
Motivation Level
Each person has a different amount of motivation for different events. The questions in this section will help to identify the level of motivation you have toward homework and school activities that are new and different.
Read the options and choose the statement that is most like you. *
Learning Styles
Each person has a learning style in which they feel more comfortable and can learn at their best. This section will ask questions that will help identify your best learning style. Adapted from McWhorter, K. T. (2003). Study and critical thinking skills in college (5th ed.). New York: Addison Wesley Longman, Inc.
For a grade in biology lab, I would prefer to ______________ *
When faced with a difficult personal problem, I prefer to _____________ *
Many instructors could improve their classes by _____________ *
When listening to a lecture or speaker, I respond more to __________ *
When on a team project, I prefer to ________ *
I prefer to shop and do errands ____________ *
A job in a busy office is _______________ *
To solve a math problem, I would prefer to ______________ *
To remember things best, I _____________ *
Assembling a bicycle from a diagram would be _______________ *
I prefer classes in which I _____________ *
To understand and remember how a machine works, I would _____________ *
I enjoy ________________ *
If I were trying to locate an office on an unfamiliar university campus, I would prefer a student to __________________ *
I prefer to _____________ *
I would prefer a job involving ____________ *
I prefer to _______________ *
I would prefer to write a term paper explaining ____________ *
I prefer tasks that require me to follow ______________ *
For a criminal justice course I would prefer to _____________________ *
To learn more about the operation of a high-speed computer printer, I would prefer to _________________ *
I would prefer to follow a set of ___________ *
I would prefer to _______________ *
I am better at remembering ______________ *
It is easier to learn new information using _______________ *
I prefer classes in which the instructor ________________ *
To obtain information about current events, I would prefer to ____________ *
To learn how to operate a fax machine, I would ____________ *
To make decisions I rely on ______________ *
To complete a task, I ___________________ *
I prefer to express my ideas and feelings through ______________ *
I prefer instructors who ________________ *
I tend to ______________________ *
I prefer ______________________ *
In completing an assignment I prefer to ________________ *
Situational Leadership Position
Every person experiences events differently. Some people can learn very quickly, while others need demonstrations and practice to master a skill. It is important for you, your parents, and your teacher to know exactly what type of support you need in learning new skills. Situational Leadership is the level of help that you usually need to successfully complete assignments and activities. This section will help identify what type of support you need from others to be the best you can be.
Which one of the following statements is most like you? *
Thank you!
Thank you for taking the time to fill out this pre-assessment. You will be completing these same questions at the end of the Story Art Workshop. Some of your answers may change because you have become more aware of yourself and your surroundings. Please pay attention to how your habits and reactions may change during your growth over the next several weeks.
Sponsored By:
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service