This document appears to be a personal evaluation form for a middle school student. It asks the student questions about what influences their character, any obstacles or setbacks they are facing, their short and long term goals, how they feel about their appearance and body image, their thoughts on school including favorite/least favorite classes and GPA, any areas they need help with to increase self-esteem, and programs that could help them improve academically or athletically. The form is intended to help evaluate the student's personal development and areas they could benefit from additional support or programs.