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Student Name____________________________________ Date_____________

STLS Group Survey


Please complete by circling the response that most represents you.. My living arrangements make me angry and frustrated.
Strongly Agree Agree Disagree Strongly Disagree

I am able to manage stress and change in my life.


Strongly Agree Agree Disagree Strongly Disagree

I have ways to ease my frustration and anxiety.


Strongly Agree Agree Disagree Strongly Disagree

My living situation affects my academic performance.


Strongly Agree Agree Disagree Strongly Disagree

Peer and teacher support can help me improve my grades.


Strongly Agree Agree Disagree Strongly Disagree

My attendance affects my classroom performance and grades.


Strongly Agree Agree Disagree Strongly Disagree

I am able to identify at least to people I can talk to when I am upset or overwhelmed.


Strongly Agree Agree Disagree Strongly Disagree

Being involved in extracurricular activities (after-school clubs or sports) can be a positive outlet.
Strongly Agree Agree Disagree Strongly Disagree

I feel more connected to my peers.


Strongly Agree Agree Disagree Strongly Disagree

School is a safe place.


Strongly Agree Agree Disagree Strongly Disagree

I am able to identify community resources that can help me and/or my family.


Strongly Agree Agree Disagree Strongly Disagree

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