Self Advocacy

Front

I am a self advocate...

Back

All of the time, Most of the time, Some of the time, On rare occasions, Very rarely, almost never

Front

When confronted with something I don't know...

Back

I look for answers on my own first, then ask if I still don't know.

Front

How do you feel about the statement below:
By knowing the rules I can better move forward and meet my goals and needs.

Back

I wholly agree with the statement, I agree with the statement, I most agree with the statement, I disagree with the statement, I wholly disagree with the statement

Front

I have ______ friends and family who support me through thick and thin

Back

lots, some, a few, hardly any, none

Front

How strong do you agree/disagree with the following statement: I can solve any problem with the support of my friends, family, and kumus.

Back

Strongly agree, Agree, Somewhat agree, Disagree, Strongly disagree

Front

How strong do you agree/disagree with the following statement: In process of solving a problem, I try to figure it out on my own then get help from others only if I need to.

Back

Strongly agree, Agree, Somewhat agree, Disagree, Strongly disagree

Front

How strong do you agree/disagree with the following statement: I can take control of my life and meet my goals. I may make mistakes along the way, but I'll do the best I can.

Back

Strongly agree, Agree, Somewhat agree, Disagree, Strongly disagree