Leadership Student Self-Assessment

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Thank you for taking the time to complete this questionnaire. This form will not submit unless all required questions are answered.

Directions:
1. READ each statement carefully and thoughtfully.
2. THINK of the best answer that describes you for each statement.
3. CLICK the circle of the answer you select for each statement.

Name *

School *

Grade *

I have interests in a variety of topics. *

Almost always true.

Often true.

Sometimes true.

Not very true.

Rarely true.

I have strong opinions. *

Almost always true.

Often true.

Sometimes true.

Not very true.

Rarely true.

I like to set goals for myself and work to reach them. *

Almost always true.

Often true.

Sometimes true.

Not very true.

Rarely true.

I am self-confident. *

Almost always true.

Often true.

Sometimes true.

Not very true.

Rarely true.

I respect the opinions or ideas of other people. *

Almost always true.

Often true.

Sometimes true.

Not very true.

Rarely true.

I like to set a good example for others. *

Almost always true.

Often true.

Sometimes true.

Not very true.

Rarely true.

I like presenting ideas to other people. *

Almost always true.

Often true.

Sometimes true.

Not very true.

Rarely true.

I like to think of different ways to solve problems. *

Almost always true.

Often true.

Sometimes true.

Not very true.

Rarely true.

I like to cooperate with others to complete a task or project. *

Almost always true.

Often true.

Sometimes true.

Not very true.

Rarely true.

I like to be a leader for tasks or projects that are assigned. *

Almost always true.

Often true.

Sometimes true.

Not very true.

Rarely true.

I am a leader in my grade. *

Almost always true.

Often true.

Sometimes true.

Not very true.

Rarely true.

I am a leader in my classroom. *

Almost always true.

Often true.

Sometimes true.

Not very true.

Rarely true.

I like to think of projects that would benefit my school. *

Almost always true.

Often true.

Sometimes true.

Not very true.

Rarely true.

I like to participate in projects that benefit my school. *

Almost always true.

Often true.

Sometimes true.

Not very true.

Rarely true.

I like to think of projects that would benefit my community. *

Almost always true.

Often true.

Sometimes true.

Not very true.

Rarely true.

I like to think about how I might be a leader in the future. *

Almost always true.

Often true.

Sometimes true.

Not very true.

Rarely true.

Click on any of the following in which you participate: *

Classroom officer campaign

Classroom officer

Grade level officer campaign

Grade level officer

Student council member

Student council officer

Small group task/project leader

Large group task/project leader

Community project participation

Community project awards

None

Required

Please list/describe any hobbies:

Please include any additional information regarding your leadership abilities.

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