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* 1. Name

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* 2. Are you happy in class this year?

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* 3. Are other children in your class kind?

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* 4. Is your teacher kind?

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* 5. Are you kind?

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* 6. Does your teacher encourage you to learn?

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* 7. Are you resilient?

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* 8. Are you being bullied?

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* 9. Is there an adult in school who you can talk to if you are worried about something?

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* 10. Is there anything else you'd like to write?

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