Mentee Growth Pre-Test
Answer the questions to share what you already know and where you want to grow.
This survey will help us understand what you already know and where you would like to grow. Your answers will not affect your participation in The Village. Please answer honestly. You may select "Not sure" when you do not know an answer. You may skip an open-ended question if you do not feel comfortable answering it.
Participant Name
*
Date of Administration
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hub / Site
*
Please Select
United In Christ Church
InerG Impact
HUTS Group ID
*
Please Select
UIC-B1
INERG-G1
INERG-B1
Grade
*
Please Select
6
7
8
9
10
11
12
Knowledge Questions
Read each question and choose the best answer.
Which statement best describes a healthy understanding of identity?
*
A. My past decides what my future will be.
B. My experiences are part of my story, but they do not define everything I can become.
C. My value depends on what other people think about me.
D. I should avoid thinking about my strengths.
E. Not sure.
Which choice is the best example of a healthy personal boundary?
*
A. Never saying no because it might upset someone.
B. Keeping every secret, even when someone may be unsafe.
C. Clearly and respectfully telling someone what you are and are not comfortable with.
D. Making decisions for other people because you know what is best.
E. Not sure.
Which statement is the best example of respectful and assertive communication?
*
A. "I feel frustrated when I am interrupted. Please let me finish what I am saying."
B. "You never listen to anything I say."
C. "Whatever. I do not care anymore."
D. Saying nothing and hoping the problem goes away.
E. Not sure.
What is the wisest response when you feel pressured to do something that goes against your values?
*
A. Do whatever feels easiest at that moment.
B. Let another person make the decision for you.
C. Make a quick decision so you can fit in.
D. Pause, consider your choices and their consequences, compare them with your values, and ask a trusted adult for guidance when needed.
E. Not sure.
Confidence, Support, and Attitude Questions
For each statement, choose the number that best describes you: 1 = Strongly disagree, 2 = Disagree, 3 = Not sure, 4 = Agree, 5 = Strongly agree.
I can name at least three strengths or positive qualities that I have.
*
1 - Strongly disagree
2 - Disagree
3 - Not sure
4 - Agree
5 - Strongly agree
I can recognize what I am feeling and use a healthy response when my emotions are strong.
*
1 - Strongly disagree
2 - Disagree
3 - Not sure
4 - Agree
5 - Strongly agree
I feel known and supported by at least two caring adults I can talk to when I need help.
*
1 - Strongly disagree
2 - Disagree
3 - Not sure
4 - Agree
5 - Strongly agree
I can communicate my feelings and needs respectfully while also listening to other people.
*
1 - Strongly disagree
2 - Disagree
3 - Not sure
4 - Agree
5 - Strongly agree
I can have honest and respectful conversations with a parent, caregiver, or trusted family member.
*
1 - Strongly disagree
2 - Disagree
3 - Not sure
4 - Agree
5 - Strongly agree
I can set a clear goal and make choices that support my school success and future.
*
1 - Strongly disagree
2 - Disagree
3 - Not sure
4 - Agree
5 - Strongly agree
I believe I can lead, serve, and make a positive difference in my family, school, or community.
*
1 - Strongly disagree
2 - Disagree
3 - Not sure
4 - Agree
5 - Strongly agree
Open-Ended Question
What is one area of your life where you would like more support or growth?
This question is optional. You may skip it if you prefer not to answer.
Submit
Should be Empty: