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Dell H. Robinson Middle School Personal Molding Evaluation
Name:_______________Grade:_______________
1) What builds your character in your life right now? Which friend, family, or personal
activities or beliefs?
________________________________________________________________________
________________________________________________________________________
2) Are there any personal obstacles, setbacks, or people in your life right now that you feel
depressed, stressed, or angered about? What are they?
________________________________________________________________________
________________________________________________________________________
3) Which short and long term goals do you plan on achieving that will boost your future career
right now?
________________________________________________________________________
________________________________________________________________________
4) Do you like your appearance? What do you like about your appearance? What makes
you feel good about yourself? What part of yourself would you like to improve? Are
you happy with your body shape? What do you think of your overall body image?
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
5) Do you like school? Why or why not? What are your favorite and least favorite classes?
______________________________________________________________________
What is your GPA_______? Who is your favorite teacher_______________________?
6) What area oflife do you need help in to increase your self-esteem? List any physical or
mental challenges that education could help you over come_______________________
_______________________________________________________________________
7) What programs wouldhelp youtobecome a better student academically or athletically?
____________________________________________________________
MST evaluation

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MST evaluation

  • 1. Dell H. Robinson Middle School Personal Molding Evaluation Name:_______________Grade:_______________ 1) What builds your character in your life right now? Which friend, family, or personal activities or beliefs? ________________________________________________________________________ ________________________________________________________________________ 2) Are there any personal obstacles, setbacks, or people in your life right now that you feel depressed, stressed, or angered about? What are they? ________________________________________________________________________ ________________________________________________________________________ 3) Which short and long term goals do you plan on achieving that will boost your future career right now? ________________________________________________________________________ ________________________________________________________________________ 4) Do you like your appearance? What do you like about your appearance? What makes you feel good about yourself? What part of yourself would you like to improve? Are you happy with your body shape? What do you think of your overall body image? ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ 5) Do you like school? Why or why not? What are your favorite and least favorite classes? ______________________________________________________________________ What is your GPA_______? Who is your favorite teacher_______________________? 6) What area oflife do you need help in to increase your self-esteem? List any physical or mental challenges that education could help you over come_______________________ _______________________________________________________________________ 7) What programs wouldhelp youtobecome a better student academically or athletically? ____________________________________________________________