After-School Initiative's Toolkit for Evaluating

[Positive Core Values - All questions are required.]
7) Please check the box below that is closest to how you feel…
All of Most of Some of Don’t
the time the time the time Never know
a) I care about other people.
b) I care about the feelings of other people.
c) I stand up for what I believe.
d) I tell the truth more often even when it is hard.
e) I take responsibility for my actions.
f) I am interested in community and world problems.
g) I speak up for people who have been treated unfairly.
[Sense of Self – All questions are required.]
8) Please check the box below that is closest to how you feel…
All of Most of Some of Don’t
the time the time the time Never know
a) I feel good about myself.
b) I feel I have control over things that happen to me.
c) I feel that I can make a difference.
d) I am good at learning new things.
e) I feel good about my future.
f) I am good at handling whatever comes my way.
[Questions a and b are required if choosing the Academic Success domain; f and g are required
if choosing the Community Involvement domain; h is required if choosing the Cultural
Competency domain.]
9) During the past 7 days, about how many hours did you spend…
0 1 2 3 4 5 Don’t
hours hour hours hours hours hours know
a) Doing homework outside of school?
b) Reading for fun (not for school)?
c) In arts and crafts?
d) In music, dance and/or theater?
e) In sports, exercise and/or recreation activities?
f) Volunteering or helping others in your community?
g) Looking for opportunities to help others in your
community?
h) Talking to young people who speak languages other
than English at home?
[Question a is required if choosing the Academic Success domain.]
10) During the past semester, how would you describe your grades…
Mostly Mostly Mostly Mostly Mostly None of Not
A’s B’s C’s D’s F’s these grades sure
a) In school?
b) In language arts (reading/writing)?
c) In math?
d) In science?
Toolkit for Evaluating Positive Youth Development 103