Lesson 6: Is There a Stone in My Soup? (3-5)
Handout 2

Sample Survey

Directions: Check the way you feel

How do you feel about this:

Really a problem

A problem

Not a problem

Kids take cut in line in the lunchroom

     

Behavior on the school bus

     

Getting to the water fountain when there is a line

     

Getting through the halls

     

Kids walking past our room

     

Listening to others when we are sharing thoughts

     

Others, making noise when the teacher gives directions

     

When two of us are talking, someone interrupts

     

Respecting visitors in the class