Developmental Asset Survey

Developmental Asset Survey

We have provided a simple survey for you to complete with your children to reflect on the assets they experience/receive. This survey is given to help prompt conversations in families, organizations, and communities.
I receive high levels of love and support from family members*

Totally AgreeAgreeNeutralDisagreeTotally AgreeN/A
I can go to my parent(s) or guardian(s) for advice and support and have frequent, in depth conversations with them.*

Totally AgreeAgreeNeutralDisagreeTotally AgreeN/A
I know some non parent adults I can go to for advice and support*

Totally AgreeAgreeNeutralDisagreeTotally AgreeN/A
My neighbors encourage and support me.*

Totally AgreeAgreeNeutralDisagreeTotally AgreeN/A
My school provides a caring, encouraging environment.*

Totally AgreeAgreeNeutralDisagreeTotally AgreeN/A
My parent(s) or guardian(s) help me succeed in school.*

Totally AgreeAgreeNeutralDisagreeTotally AgreeN/A
I feel valued by adults in my community.*

Totally AgreeAgreeNeutralDisagreeTotally AgreeN/A
I am given useful roles in my community.*

Totally AgreeAgreeNeutralDisagreeTotally AgreeN/A
I serve in the community one hour or more each week*

Totally AgreeAgreeNeutralDisagreeTotally AgreeN/A
I feel safe at home, at school and in the neighborhood.*

Totally AgreeAgreeNeutralDisagreeTotally AgreeN/A
My family sets standards for appropriate conduct and monitors my whereabouts.*

Totally AgreeAgreeNeutralDisagreeTotally AgreeN/A
I receive clear information from the teacher(s) about what my child is learning.*

Totally AgreeAgreeNeutralDisagreeTotally AgreeN/A
My school has clear rules and consequences for behavior.*

Totally AgreeAgreeNeutralDisagreeTotally AgreeN/A
Neighbors take responsibility for monitoring my behavior.*

Totally AgreeAgreeNeutralDisagreeTotally AgreeN/A
Parent(s) and other adults model positive, responsible behavior.*

Totally AgreeAgreeNeutralDisagreeTotally AgreeN/A
My best friends model responsible behavior.*

Totally AgreeAgreeNeutralDisagreeTotally AgreeN/A
My parent(s)/guardian(s) and teachers encourage me to do well.*

Totally AgreeAgreeNeutralDisagreeTotally AgreeN/A
I spend three hours or more each week in lessons or practice in music, theater, or other arts.*

Totally AgreeAgreeNeutralDisagreeTotally AgreeN/A
I spend three hours or more each week in school or community sports, clubs, or organizations.*

Totally AgreeAgreeNeutralDisagreeTotally AgreeN/A
I spend one hour or more each week in religious services or participating in spiritual activities.*

Totally AgreeAgreeNeutralDisagreeTotally AgreeN/A
I go out with friends with nothing special to do two or fewer nights each week.*

Totally AgreeAgreeNeutralDisagreeTotally AgreeN/A
I want to do well in school.*

Totally AgreeAgreeNeutralDisagreeTotally AgreeN/A
I am actively engaged in learning.*

Totally AgreeAgreeNeutralDisagreeTotally AgreeN/A
I do an hour or more of homework each school day*

Totally AgreeAgreeNeutralDisagreeTotally AgreeN/A
I care about my school.*

Totally AgreeAgreeNeutralDisagreeTotally AgreeN/A
I read for pleasure three or more hours each week.*

Totally AgreeAgreeNeutralDisagreeTotally AgreeN/A
I believe it is really important to help other people.*

Totally AgreeAgreeNeutralDisagreeTotally AgreeN/A
I want to help promote equality and reduce world poverty and hunger.*

Totally AgreeAgreeNeutralDisagreeTotally AgreeN/A
I can stand up for what I believe.*

Totally AgreeAgreeNeutralDisagreeTotally AgreeN/A
I tell the truth even when it's not easy.*

Totally AgreeAgreeNeutralDisagreeTotally AgreeN/A
I can accept and take personal responsibility.*

Totally AgreeAgreeNeutralDisagreeTotally AgreeN/A
I believe it is important not to use alcohol or drugs.*

Totally AgreeAgreeNeutralDisagreeTotally AgreeN/A
I am good at planning ahead and making decisions.*

Totally AgreeAgreeNeutralDisagreeTotally AgreeN/A
I am good at making and keeping friends.*

Totally AgreeAgreeNeutralDisagreeTotally AgreeN/A
I know and am comfortable with people of different cultural/racial/ethnic backgrounds.*

Totally AgreeAgreeNeutralDisagreeTotally AgreeN/A
I can resist negative peer pressure and dangerous situations.*

Totally AgreeAgreeNeutralDisagreeTotally AgreeN/A
I try to resolve conflict nonviolently.*

Totally AgreeAgreeNeutralDisagreeTotally AgreeN/A
I believe I have control over many things that happen to me.*

Totally AgreeAgreeNeutralDisagreeTotally AgreeN/A
I feel good about myself.*

Totally AgreeAgreeNeutralDisagreeTotally AgreeN/A
I believe my life has a purpose.*

Totally AgreeAgreeNeutralDisagreeTotally AgreeN/A
I am optimistic about my future.*

Totally AgreeAgreeNeutralDisagreeTotally AgreeN/A
Child Name*
Type Name
Signature*

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