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Exit Survey
 
 
School
   
 
 
 
What grade is your child in?
 
3rd
 
4th
 
5th
 
6th
 
 
 
Does your child use conflict management skills?
 
Hardly Ever
 
Sometimes
 
Frequently
 
I don't know
 
 
 
Yes No Maybe
Does your child know the correct meaning of bullying?
Can your child recognize signs of anger in themselves?
Can your child recognize signs of anger in others?
Can your child identify ways to control anger?
 
 
Answer
Hardly Ever Sometimes Frequently I don't know
Does your child use anger management methods to control anger?
Is your child able to explain their point of view?
Is your child able to think about another person's point of view?
Can your child look at a problem in several different ways?
Can your child solve specific problems?
Does your child use good manners?
 
 
Answer
Yes No Maybe
Does your child know the definition of respect?
Does your child know how to gain respect?
Does your child know how to give respect?
Does your child write thank you notes?
Does your child know the importance of teamwork when working in groups?
Does your child know how to be a good team member?
 
 
 
Is your child a good team member when working in groups?
 
Hardly Ever
 
Sometimes
 
Frequently
 
I don't know
 
 
Answer
Yes No Maybe
Can your child identify ways in which people are different?
Can your child identify ways in which people are alike?
Does your child appreciate the differences in people and their traditions, customs, and culture?