Directions: For each question, you're going to decide: do you do this a little, some, or a lot.  You will tap next to the cup that you think represents your answer. There are 5 choices.

1. The noises around me make it hard for me to do my work.

2. I finish my school work.

3. I follow the rules at school.

4. I am able to listen when someone else is talking.

5. I am a good friend.

6. I get angry or upset at school.

7. Most days I have a good day at school.

8. I am nervous in school.

9. I feel tired in school.

10. I listen to what the teacher asks me to do.

11. I give up when I have too much work.

12. Mindfulness has helped me.

13. I use my mindfulness at school.

14. I use my mindfulness at home.

15. Mindfulness helps me feel better.

16. I like doing mindfulness.