Student SEL Task - Foundational Screener 3-5


student screen

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Student Directions: Here are some questions for you to answer about how you get along with others. Read each statement and choose the answer that best describes you.

The student labels their emotion in a given situation.

1. When someone asks me how I feel, I can tell them, I feel happy, sad or mad. For example, "I was angry I was not invited to my friend's birthday party."

The student will recognize one of their strengths.

2. I know what I am able to do well. For example,"I am good at ice skating. My performance earned second place last week!"

The student states how his/her behavior affects self and others.

3. I know my choices can affect how others feel. For example, "My brother gets mad when I borrow his bike without asking."

The student will identify/acknowledge his/her mistakes

4. I will tell someone when I make a mistake. For example, "I left my bike out in the rain even though I was reminded to put it away."

The student identifies and attempts a challenge.

5. When something is hard for me I ask for help. For example, "It took me three weeks to learn how to climb the rope in gym class, but I kept trying!"

The student waits his/her turn while playing a game or other activity.

6. When I am playing a game I will wait my turn. For example, "I wait for others to take their turn when we are playing Monopoly."

Responsible Decision Making
The student will identify a time when they did the right thing, even though it is not popular.

7. If others were saying mean things to another classmate I would tell them it is not nice. For example, "On the bus ride home, some kids starting bullying kindergartener. I told them to stop and asked the kindergartner to sit with me."

Responsible Decision Making
The student will ask a clarifiying question to guide the decision making process.

8. When I am not sure what I need to do, I ask my teacher to help me. For example, "I ask my teacher what I need to do next."

Responsible Decision Making
The student accepts a solution to solve a presented/given social problem.

9. When I have a problem with my friends or family, I am willing to try my friend's idea to solve the problem. For example, "At lunch, my friend and I want to sit by the same person. My friend had a good idea to have our friend sit in the middle of us."

Relationship Skills
The student follows simple one to three step oral directions.

10. I listen and follow directions I am given. For example, when my teacher tells me to get ready for lunch, "I wait my turn to wash my hands and then line up quietly at the door."

Relationship Skills
The student is able to list two qualities of a good friend.

11. I know what it takes to be a good friend. For example, to be a good friend to others, "I need to be a good listener and play the games my friend likes to play sometimes."

Relationship Skills
The student uses positive language/words that shows being accepting/respectful of others regardless of their race, abilities, language, culture or religion.

12. I am friends with people who are different than me in some ways. For example, "I have friends that have different skin color than me."

Social Awareness
The student maintains appropriate personal space or social distancing from peers and adults.

13. I know everyone needs personal space. When I am standing by others, I make sure I am at least one arm's length away from him/her.

Social Awareness
The student will identify up to 2 nonverbal cues that help determine how others are feeling.

14. I can tell how someone is feeling by looking at and listening to them. For example, "I knew my friend liked what he was watching by the big smile on his face."

Social Awareness
The student will raise a hand (or other appropriate physical cues) to gain attention and wait to be called on.

15. I know the right way to get attention from adults and students. For example, "When I want to share a thought in music, I know I need to raise my hand for the teacher to call on me."