S.No |
Questions For Your Referral | Yes |
No |
1 |
Am I ever responsible for the ethics or morals (standards) of others? |
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2 |
Do I feel any responsibility for the poor, crippled, or sick? |
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3 |
Are my standards based on what others have told me in the past? |
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4 |
Have I made my own decisions about what is honest and right? |
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5 |
Are honesty and integrity important to me? |
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6 |
Do I ever rationalize (make excuses that) petty stealing, fighting, or breaking windows are things students always do? |
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7 |
Should I have a role in seeing that others are protected against unfairness or injustice? |
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8 |
Am I as concerned with the quality of life as I am with the quantity of life? |
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9 |
Is the Golden Rule (treat others a you want to be treated) a good principle to live by? |
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10 |
Do I ever read outside of school requirements? |
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11 |
Do I have an awareness of world events? |
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12 |
Do I consider it important to know what is going on in other parts of the world? |
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13 |
Do I properly adjust my present actions to complete future plans? |
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14 |
When I am angry with others, do I keep my feelings to myself? |
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15 |
Would it be healthy to talk with someone I trust about my anger? |
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16 |
Am I in the habit of putting myself down? |
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17 |
When faced with new opportunities and situations, do I expect to be successful? |
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18 |
Do I allow others, especially adults, to give me pictures of who I am? |
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19 |
Do I ever think about or subconsciously fear competing with people at school or in future jobs? |
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20 |
Should I be more concerned about competing with myself instead of others? |
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21 |
When faced with new opportunities and situations, do I expect to be successful? |
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22 |
Do I allow others, especially adults, to give me pictures of who I am? |
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