SAFE-T Year One Evaluation (Pre)

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Directions: This is not a test, and no grade will be assigned. Answer each question as thoughtfully and honestly as possible. All of the questions should be answered by marking ONE of the answer spaces. If you do not find an answer that fits exactly, use the one that comes closest.

Zip code where school is located. *

School Name (No initials please) *

Date *

YYYY

Teacher's Name *

I can listen well to others. *

Almost Never

Rarely

Sometimes

Usually

Almost Always

Kids I don't like can have good ideas. *

Almost Never

Rarely

Sometimes

Usually

Almost Always

I am sensitive to other people’s feelings, even if they are not my friend. *

Almost Never

Rarely

Sometimes

Usually

Almost Always

There is an adult I can talk to if I really need help. *

Almost Never

Rarely

Sometimes

Usually

Almost Always

If I really want something, I will do anything I can to get it, even if it means hurting someone else. *

Almost Never

Rarely

Sometimes

Usually

Almost Always

If someone has said yes to physical contact, they have the right to change their mind at any time. *

Almost Never

Rarely

Sometimes

Usually

Almost Always

When I am mad I can calm myself down. *

Almost Never

Rarely

Sometimes

Usually

Almost Always

If I disagree with someone else, I am able to talk it out. *

Almost Never

Rarely

Sometimes

Usually

Almost Always

If I saw or knew about someone being hurt, I would do something to help *

Almost Never

Rarely

Sometimes

Usually

Almost Always

I am able to recognize sexual harassment. *

Almost Never

Rarely

Sometimes

Usually

Almost Always

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