Directions: Please complete all of the following sentences regarding the class that you are focusing on for this program.  There are no right or wrong answers.  Put down the first idea that comes into your head.  When you are done, give this form back to your teacher/counselor.
 

1. When I try hard in this class, it's because _____________________________.

2. I would spend more time on my schoolwork if  _________________________.

3. If I do poorly in  this class, then  ____________________________________ (will happen).

4. When I don't try hard in this class, it's because  ____________________.

5. Doing well in  this class will help me to  ________________________.

6. This class is important because  ________________________________.

7. The thing that I am most interested in learning more about is  ________________.

8. The most interesting thing that I learned in _______ class this year  is _________________.

9. I feel best about myself when  _______________________________________.

10. I feel worst about myself when  _____________________________________.

11. I am most proud of  _____________________________________________.

12. I wish that I could  ______________________________________________.

13. When I grow up, I want to  ________________________________________.

14. I really value ___________________________________________________.