Personal Reflection Questionnaire (Secondary)

(to download a printable PDF version, click here)

Name:_______________________________  Date:________________________________

School:______________________________  Grade:____________  Age:______________

Rate the extent to which each statement describes you.  There are no right or wrong answers.

Does not describe me at all Describes me a little Somewhat describes me Moderately describes me Definitely describes me
1 I believe that choices I make today can impact my family and community in the future. 0 1 2 3 4
2 When I trade with others, I get to know them better. 0 1 2 3 4
3 Being aware of what I am giving up helps me make choices. 0 1 2 3 4
4 I am more likely to do something if there is a reward for doing it. 0 1 2 3 4
5 My choices reflect what is important to me. 0 1 2 3 4
6 I think about future decisions more than past decisions. 0 1 2 3 4
7 When I trade something I value and don’t get something I value in return, I feel angry. 0 1 2 3 4
8 My choices are influenced by what I value. 0 1 2 3 4
9 My choices are limited by things other than my parents or other adults in my life. 0 1 2 3 4
10 Trading works better when I am honest about what I can do and what I want. 0 1 2 3 4
11 I don’t always feel like it is an even trade when I trade with my teacher or parents or other adults in my life. 0 1 2 3 4
12 I use my goals to guide choices I make. 0 1 2 3 4
13 I am accountable for the choices I make. 0 1 2 3 4
14 I have good relationships with people I meet in life. 0 1 2 3 4
15 It is important to consider costs and benefits before making a choice. 0 1 2 3 4
16 I cannot get what I need to be successful. 0 1 2 3 4
17 I compare the price of one item I want to another item I want to determine whether I should purchase it. 0 1 2 3 4
18 It is important to me to find out what I do best. 0 1 2 3 4
19 When making choices about my actions, I think about incentives and disincentives. 0 1 2 3 4
20 Choices often have several desirable options from which to choose initially. 0 1 2 3 4

Rate the extent to which each statement describes you.  There are no right or wrong answers.

Does not describe me at all Describes me a little Somewhat describes me Moderately describes me Definitely describes me
21 I learn new things every day. 0 1 2 3 4
22 My success at school is influenced by the choices I make. 0 1 2 3 4
23 I can improve my life through education. 0 1 2 3 4
24 I have the resources available to get enough food to eat. 0 1 2 3 4
25 Money is not the only incentive that will convince me to change my behavior. 0 1 2 3 4
26 I compare the price of one item I want to the amount of time it would take me to earn that amount of money. 0 1 2 3 4
27 I sometimes trade the things I do best for other goods and services. 0 1 2 3 4
28 I share what I have based on how much people will give me in return. 0 1 2 3 4
29 I consider tangible costs (money, physical labor) when I make a choice. 0 1 2 3 4
30 I only put time and effort into a project if it will make me better off. 0 1 2 3 4
31 I only do things I feel like doing. 0 1 2 3 4
32 My choices are determined mostly by what my parents or other adults in my life have always done. 0 1 2 3 4
33 I believe the choices I make throughout life shape who I am as a person. 0 1 2 3 4
34 When I want people to do something for me, I think about a nice thing I can do for them in return. 0 1 2 3 4
35 I cannot change the future. 0 1 2 3 4
36 I consider intangible costs (safety, leisure time given up) when I make a choice. 0 1 2 3 4
37 I always think about possible choices I can make in the future. 0 1 2 3 4
38 Before making a choice, I identify and evaluate alternative choices. 0 1 2 3 4
39 My spending influences the amount suppliers produce. 0 1 2 3 4
40 I have the resources available to get a good night sleep on a regular basis. 0 1 2 3 4
41 Trading gives me lots of choices. 0 1 2 3 4
42 When I want people to do something for me, I think about how to force them to do it. 0 1 2 3 4
43 I make some choices in my life but most choices are made for me by my parents or other adults in my life. 0 1 2 3 4

Rate the extent to which each statement describes you.  There are no right or wrong answers.

Does not describe me at all Describes me a little Somewhat describes me Moderately describes me Definitely describes me
44 If I do not make a choice something or someone else will make it for me. 0 1 2 3 4
45 I have a hard time overcoming past decisions. 0 1 2 3 4
46 Choices I make may have a cost to others and me. 0 1 2 3 4
47 I have freedom of choice in most areas of my life. 0 1 2 3 4
48 I learn from unanticipated outcomes in my life. 0 1 2 3 4
49 I believe things happen to me that I cannot change. 0 1 2 3 4
50 I consider the cost of an item to be more than money. 0 1 2 3 4
51 I have bartered something I had for something someone else had. 0 1 2 3 4
52 When I make choices, I have more control over situations. 0 1 2 3 4
53 I provide goods and services to people in my life. 0 1 2 3 4
54 In general, my friends are more likely to do what I want if I offer an incentive. 0 1 2 3 4
55 I can change my future by the choices I make today. 0 1 2 3 4
56 I consume goods and services every day. 0 1 2 3 4
57 I try to share what I have so that everyone gets the same amount no matter what I get in return. 0 1 2 3 4
58 I consider money to be the only incentive worth changing my behavior. 0 1 2 3 4
59 I have what I need to improve my life. 0 1 2 3 4
60 At this point, It is not important for me to understand how choices can influence my life. 0 1 2 3 4
61 When I am punished for doing something, I stop doing it. 0 1 2 3 4
62 When I do the things I do best, and my friends do the things they do best, we can get more work done than if I did everything by myself. 0 1 2 3 4
63 I re-evaluate my choice to purchase something when prices change. 0 1 2 3 4