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Please choose all answers that apply
 
 
 
What extra-curricular activities are you involved in?
 
None
 
Clubs
 
Student Government
 
Sports
 
Other
 
 
 
 
If you are involved with sports please write them below.
   
 
 
 
In which range is your GPA?
 
Below 2.0
 
Between 2.0 and 3.0
 
Between 3.0 and 3.5
 
Between 3.5 and 4.0
 
4.0
 
 
 
Are you involved in any after-school activities that involve the arts?
 
No
 
Art Class
 
Music Lessons
 
Voice Lessons
 
 
 
Please rank the following in order of what causes you the most stress. (1 being the most stressful and 6 being the least.)
Social Interactions
Physical Appearance
Performance in School
Performance in Athletics
Homework or studying
Organization
 
 
 
Have you ever been diagnosed with an Anxiety Disorder?
 
Yes
 
No
 
 
 
How much free time do you usually have after school?
 
Less than 1 hour
 
6+ hours
 
Between 1 and 2
 
Between 3 and 4
 
I never have free time
 
 
 
How worried about grades are you?
 
Very worried
 
I'm only worried when my grades are bad
 
I'm only worried if my parents are mad
 
I'm never worried
 
I'm always a little bit worried but I don't let it bother me
 
 
 
Do you know what you want to do when you graduate?
 
Yes. I know exactly where I'm going to go and how I'm going to do everything.
 
Yes, I know the basic stuff I want to do.
 
Yeah, Kind of I have the general Idea.
 
No, I have no Idea what I am going to do.
 
 
 
Do you think that you are too involved in any one thing?
 
Yes, school
 
Yes, sports
 
Yes, music
 
Yes, friends
 
No, I probably should start doing something with my life
 
No, I am perfectly balanced in everything