Manners - Courtesy - Character - Respect

1. Are you ever late?

Always

Sometimes

Rarely

Never

2. Do you e-mail while talking on the phone?

Always

Sometimes

Rarely

Never

3. Do you interrupt face-to-face conversations to take non-urgent cell phone calls?

Always

Sometimes

Rarely

Never

4. Do you use supermarket 10-item express lanes when you have more than 10 items?

Always

Sometimes

Rarely

Never

5. While among friends or co-workers, do you yawn without covering your mouth?

Always

Sometimes

Rarely

Never

6. Do you ever text or talk on your cell phone in movie theaters?

Always

Sometimes

Rarely

Never

7. Do you let your dog relieve itself on your neighbor's lawn?

Always

Sometimes

Rarely

Never

8. Do you ever cut in line?

Always

Sometimes

Rarely

Never

9. Do you ever RSVP to an event after the deadline has passed?

Always

Sometimes

Rarely

Never

10. Do you ever let your child kick the back of the seat in front of him—and not apologize to the victim?

Always

Sometimes

Rarely

Never

11. Do you ever steal other people's parking spots?

Always

Sometimes

Rarely

Never

12. Do you gossip?

Always

Sometimes

Rarely

Never

13. Do you ever take someone else's food or drink from the office refrigerator?

Always

Sometimes

Rarely

Never

14. Do you text during class?

Always

Sometimes

Rarely

Never

15. Do you talk on a cell phone during class?

Always

Sometimes

Rarely

Never

16. Are you late to class?

Always

Sometimes

Rarely

Never

17. Do you ever ignore a teacher when they ask you to do something?

Always

Sometimes

Rarely

Never

18. Do you ever just sit there or stand there when a teacher expects you to participate?

Always

Sometimes

Rarely

Never

19. Do you talk to your classmates while the teacher is lecturing or leading a class discussion?

Always

Sometimes

Rarely

Never

20. Do you ever leave the room or leave your seat while a guest speaker or someone else is giving a presentation?

Always

Sometimes

Rarely

Never

21. Do you ever listen to your ipod or play with your electronic devices while the teacher is teaching class or a speaker is giving a presentation?

Always

Sometimes

Rarely

Never

22. when Do you ever spit on a sidewalk, in a parking lot, in the drinking fountain, or in a building?

Always

Sometimes

Rarely

Never

23. When you see someone with their arms full do you open a door for them or offer to help them in some way?

Always

Sometimes

Rarely

Never

24. When your Grandparents send you a birthday or Christmas present, do you send them a thank you note?

Always

Sometimes

Rarely

Never

25. Do you ever lie to your parents, teachers, or other school officials?

Always

Sometimes

Rarely

Never

26. Do you ever roll your eyes, or flip someone off, or use other negative body language.

Always

Sometimes

Rarely

Never

27. When you have been disrespectful to someone, do you take responsibility for your actions and apologize?

Always

Sometimes

Rarely

Never

28. Do you ever leave class when the teacher has not excused you?

Always

Sometimes

Rarely

Never

29. Do you ever refuse to do an assignment or participate in an activity when a teacher expects you to?

Always

Sometimes

Rarely

Never

30. Do you laugh when someone else is rude to a teacher, parent, or other person?

Always

Sometimes

Rarely

Never

31. Do you ever thank a guest speaker, a presenter, or a teacher for their presentation?

Always

Sometimes

Rarely

Never

32. Do you complete your homework and hand in all assignments you are given?

Always

Sometimes

Rarely

Never

33. Do you ever ditch class and then later expect the teacher to help you with the assignments you missed?

Always

Sometimes

Rarely

Never

34. Do you ever read a book, the newspaper or a magazine while someone is giving a presentation?

Always

Sometimes

Rarely

Never

35. Do you ever ask to be excused from one class to make up work in another class?

Always

Sometimes

Rarely

Never

36. How many days of school do you miss each semester?

1 - 7

8-10

11-20

Over 20

37. Do you ever call someone, a teacher, or a classmate a bitch to their face or behind their back?

Always

Sometimes

Rarely

Never

38. How many times a week do you tell your Mom or Dad "Thank you"?

Never

5-10

11-20

Over 20

39. How many times a week do you tell a teacher "Thank you"?

Never

5-10

11-20

Over 20

40. How many times a week do you tell a family member you love them?

Never

5-10

11-20

Over 20

41. How many times a week do you compliment someone?

Never

5-10

11-20

Over 20