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Please CIRCLE the number that best indicates how much like you each statement is of you recently. Kids vary; most are
motivated to do some things, but not others. Note that some of the questions are not typical of kids your age, so it is okay
to use a “not like me” rating. Please try to answer all questions even if you are not sure.
NOT AT
ALL EXACTLY
LIKE ME LIKE ME
6. I try hard to make other kids feel better if they seem sad 1 2 3 4 5
12. I try to do well in physical activities even when they are challenging 1 2 3 4 5
17. I try to figure out all the steps needed to solve a problem 1 2 3 4 5
OVER PLEASE
NOT AT ALL EXACTLY
LIKE ME LIKE ME
24. I don’t look people in the eye when I try but cannot do something 1 2 3 4 5
29. I will work for a long time trying to solve a problem for school 1 2 3 4 5
32. I try to get included when other kids are doing something 1 2 3 4 5
33. I try to find out what adults like and don’t like 1 2 3 4 5
35. I try to keep things going when I am playing with other kids 1 2 3 4 5