Good Samaritan Community Services

In partnership with youth-serving organizations throughout San Antonio, we are participating in a city-wide project to survey our program attendees using the Developmental Assets Profile. This survey was designed by the Search Institute to identify the presence of the 40 Developmental Assets – a research-backed framework that helps us determine if the kids we serve are getting what they need from our program.

In an effort to better serve our kids, we will be asking them to take this survey before and after they participate in our program.

This survey is for the students in our program—not their parents or caregivers.

Thank you for taking the time to have them fill it out.

If you have any questions, please contact Amanda James at amanda.james@goodsamtx.org

Organization

Please complete this survey to assist the organization listed above in understanding and improving the impacts of their programs. This survey should take about 15-20 minutes. Please take the time to be thoughtful and answer each question honestly. Thank you for your time!

PLEASE ENSURE THAT YOUR CHILD COMPLETES THIS SURVEY

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PARTNER ID(Required)

Child's Name(Required)

First Last

Child's Date of Birth(Required)

What is your parent/guardian's phone number?

Please enter a valid email address for your family.(Required)

What is the name of your school?

What grade are you in?

Student ID

Are you at least 12 years old today?(Required)

Yes

Developmental Assets Profile

Below is a list of positive things that you might have in yourself, your family, friends, neighborhood, school, and community. For each item that describes you now or within the last 3 months, check if the item is true: Not at all or Rarely, Somewhat or Sometimes, Very or Often, Extremely or Almost Always. If you do not want to answer an item, leave it blank. Please try to answer all items as best you can.

1. I tell other people what I believe in.

Not at all or Rarely

Somewhat or Sometimes

Very or Often

Extremely or Almost Always

2. I can shape and influence what happens in my life and future.

Not at all or Rarely

Somewhat or Sometimes

Very or Often

Extremely or Almost Always

3. I like myself.

Not at all or Rarely

Somewhat or Sometimes

Very or Often

Extremely or Almost Always

4. I try not to do things that are dangerous or are not good for me.

Not at all or Rarely

Somewhat or Sometimes

Very or Often

Extremely or Almost Always

5. I enjoy reading or being read to.

Not at all or Rarely

Somewhat or Sometimes

Very or Often

Extremely or Almost Always

6. I make friends with other people.

Not at all or Rarely

Somewhat or Sometimes

Very or Often

Extremely or Almost Always

7. I care about school.

Not at all or Rarely

Somewhat or Sometimes

Very or Often

Extremely or Almost Always

8. I do my homework.

Not at all or Rarely

Somewhat or Sometimes

Very or Often

Extremely or Almost Always

9. I say no to things like smoking cigarettes, drinking alcohol, and "doing" drugs.

Not at all or Rarely

Somewhat or Sometimes

Very or Often

Extremely or Almost Always

10. I enjoy learning.

Not at all or Rarely

Somewhat or Sometimes

Very or Often

Extremely or Almost Always

11. I show my feelings in proper ways.

Not at all or Rarely

Somewhat or Sometimes

Very or Often

Extremely or Almost Always

12. I feel good about my future.

Not at all or Rarely

Somewhat or Sometimes

Very or Often

Extremely or Almost Always

13. I ask my parents for ideas when I need help.

Not at all or Rarely

Somewhat or Sometimes

Very or Often

Extremely or Almost Always

14. I can be disappointed about something, but not get too upset.

Not at all or Rarely

Somewhat or Sometimes

Very or Often

Extremely or Almost Always

15. I find good ways to handle things that are hard in my life.

Not at all or Rarely

Somewhat or Sometimes

Very or Often

Extremely or Almost Always

16. I think it is important to help other people.

Not at all or Rarely

Somewhat or Sometimes

Very or Often

Extremely or Almost Always

17. I feel safe at home.

Not at all or Rarely

Somewhat or Sometimes

Very or Often

Extremely or Almost Always

18. I plan ahead and make good choices.

Not at all or Rarely

Somewhat or Sometimes

Very or Often

Extremely or Almost Always

19. I stay away from bad people and bad things.

Not at all or Rarely

Somewhat or Sometimes

Very or Often

Extremely or Almost Always

20. I fix problems I have without anyone getting hurt.

Not at all or Rarely

Somewhat or Sometimes

Very or Often

Extremely or Almost Always

21. I feel like people like and respect me.

Not at all or Rarely

Somewhat or Sometimes

Very or Often

Extremely or Almost Always

22. I take responsibility for what I do.

Not at all or Rarely

Somewhat or Sometimes

Very or Often

Extremely or Almost Always

23. I tell the truth even when it's not easy.

Not at all or Rarely

Somewhat or Sometimes

Very or Often

Extremely or Almost Always

24. I accept people who are different from me.

Not at all or Rarely

Somewhat or Sometimes

Very or Often

Extremely or Almost Always

25. I feel safe at school.

Not at all or Rarely

Somewhat or Sometimes

Very or Often

Extremely or Almost Always

26. I am trying to learn new things.

Not at all or Rarely

Somewhat or Sometimes

Very or Often

Extremely or Almost Always

27. I think about what I want to do in my life when I grow up.

Not at all or Rarely

Somewhat or Sometimes

Very or Often

Extremely or Almost Always

28. I am told to try things that might be good for me.

Not at all or Rarely

Somewhat or Sometimes

Very or Often

Extremely or Almost Always

29. I do chores at home and help make family decisions.

Not at all or Rarely

Somewhat or Sometimes

Very or Often

Extremely or Almost Always

30. I help to make my school, neighborhood or city a better place.

Not at all or Rarely

Somewhat or Sometimes

Very or Often

Extremely or Almost Always

31. I do things at a religious place, like a church.

Not at all or Rarely

Somewhat or Sometimes

Very or Often

Extremely or Almost Always

32. I do healthy things like eat good food and get exercise.

Not at all or Rarely

Somewhat or Sometimes

Very or Often

Extremely or Almost Always

33. I am told that it is a good thing to help other people.

Not at all or Rarely

Somewhat or Sometimes

Very or Often

Extremely or Almost Always

34. I am part of a sports activity, a club, or other group.

Not at all or Rarely

Somewhat or Sometimes

Very or Often

Extremely or Almost Always

35. I help with problems in the world, by doing things like donating to food shelves or giving money at church.

Not at all or Rarely

Somewhat or Sometimes

Very or Often

Extremely or Almost Always

36. I am given important things to do at home, at school, or in my community.

Not at all or Rarely

Somewhat or Sometimes

Very or Often

Extremely or Almost Always

37. I respect other people.

Not at all or Rarely

Somewhat or Sometimes

Very or Often

Extremely or Almost Always

38. I want to do well in school and my other activities.

Not at all or Rarely

Somewhat or Sometimes

Very or Often

Extremely or Almost Always

39. I am aware of other people's feelings and needs.

Not at all or Rarely

Somewhat or Sometimes

Very or Often

Extremely or Almost Always

40. I spend time doing creative things like music, theater, or art.

Not at all or Rarely

Somewhat or Sometimes

Very or Often

Extremely or Almost Always

41. I do things for others in my community.

Not at all or Rarely

Somewhat or Sometimes

Very or Often

Extremely or Almost Always

42. I spend time at home doing things with my parent(s), or someone who is responsible for raising me.

Not at all or Rarely

Somewhat or Sometimes

Very or Often

Extremely or Almost Always

43. I have friends who set good examples for me.

Not at all or Rarely

Somewhat or Sometimes

Very or Often

Extremely or Almost Always

44. I have a school that gives students clear rules.

Not at all or Rarely

Somewhat or Sometimes

Very or Often

Extremely or Almost Always

45. I have adults who are good role models for me.

Not at all or Rarely

Somewhat or Sometimes

Very or Often

Extremely or Almost Always

46. I have a safe neighborhood.

Not at all or Rarely

Somewhat or Sometimes

Very or Often

Extremely or Almost Always

47. I have parent(s) or someone who is responsible for raising me, who want me to do my best and help me do it.

Not at all or Rarely

Somewhat or Sometimes

Very or Often

Extremely or Almost Always

48. I have good neighbors who care about me.

Not at all or Rarely

Somewhat or Sometimes

Very or Often

Extremely or Almost Always

49. I have a school that cares about kids and and helps them learn.

Not at all or Rarely

Somewhat or Sometimes

Very or Often

Extremely or Almost Always

50. I have teachers who help me do my best.

Not at all or Rarely

Somewhat or Sometimes

Very or Often

Extremely or Almost Always

51. I have other adults in my life, who are not parents or someone who is responsible for raising me, who care about me.

Not at all or Rarely

Somewhat or Sometimes

Very or Often

Extremely or Almost Always

52. I have a family that sets clear rules for me.

Not at all or Rarely

Somewhat or Sometimes

Very or Often

Extremely or Almost Always

53. I have parent(s) or someone who is responsible for raising me, who talk with me about doing well in school.

Not at all or Rarely

Somewhat or Sometimes

Very or Often

Extremely or Almost Always

54. I have a family that gives me love and support.

Not at all or Rarely

Somewhat or Sometimes

Very or Often

Extremely or Almost Always

55. I have neighbors who help watch out for me.

Not at all or Rarely

Somewhat or Sometimes

Very or Often

Extremely or Almost Always

56. I have parent(s) or someone who is responsible for raising me, who are good at talking with me about things.

Not at all or Rarely

Somewhat or Sometimes

Very or Often

Extremely or Almost Always

57. I have a school where every student has to follow the same rules.

Not at all or Rarely

Somewhat or Sometimes

Very or Often

Extremely or Almost Always

58. I have a family that knows where I am and what I am doing.

Not at all or Rarely

Somewhat or Sometimes

Very or Often

Extremely or Almost Always

Developmental Assets Profile

1. I stand up for what I believe in.

Not at all or Rarely

Somewhat or Sometimes

Very or Often

Extremely or Almost Always

2. I feel in control of my life and future.

Not at all or Rarely

Somewhat or Sometimes

Very or Often

Extremely or Almost Always

3. I feel good about myself.

Not at all or Rarely

Somewhat or Sometimes

Very or Often

Extremely or Almost Always

4. I avoid things that are dangerous or unhealthy.

Not at all or Rarely

Somewhat or Sometimes

Very or Often

Extremely or Almost Always

5. I enjoy reading or being read to.

Not at all or Rarely

Somewhat or Sometimes

Very or Often

Extremely or Almost Always

6. I build friendships with other people.

Not at all or Rarely

Somewhat or Sometimes

Very or Often

Extremely or Almost Always

7. I care about school.

Not at all or Rarely

Somewhat or Sometimes

Very or Often

Extremely or Almost Always

8. I do my homework.

Not at all or Rarely

Somewhat or Sometimes

Very or Often

Extremely or Almost Always

9. I stay away from tobacco, alcohol, and other drugs.

Not at all or Rarely

Somewhat or Sometimes

Very or Often

Extremely or Almost Always

10. I enjoy learning.

Not at all or Rarely

Somewhat or Sometimes

Very or Often

Extremely or Almost Always

11. I express my feelings in proper ways.

Not at all or Rarely

Somewhat or Sometimes

Very or Often

Extremely or Almost Always

12. I feel good about my future.

Not at all or Rarely

Somewhat or Sometimes

Very or Often

Extremely or Almost Always

13. I seek advice from my parents.

Not at all or Rarely

Somewhat or Sometimes

Very or Often

Extremely or Almost Always

14. I deal with frustration in positive ways.

Not at all or Rarely

Somewhat or Sometimes

Very or Often

Extremely or Almost Always

15. I overcome challenges in positive ways.

Not at all or Rarely

Somewhat or Sometimes

Very or Often

Extremely or Almost Always

16. I think it is important to help other people.

Not at all or Rarely

Somewhat or Sometimes

Very or Often

Extremely or Almost Always

17. I feel safe and secure at home.

Not at all or Rarely

Somewhat or Sometimes

Very or Often

Extremely or Almost Always

18. I plan ahead and make good choices.

Not at all or Rarely

Somewhat or Sometimes

Very or Often

Extremely or Almost Always

19. I resist bad influences.

Not at all or Rarely

Somewhat or Sometimes

Very or Often

Extremely or Almost Always

20. I resolve conflicts without anyone getting hurt.

Not at all or Rarely

Somewhat or Sometimes

Very or Often

Extremely or Almost Always

21. I feel valued and appreciated by others.

Not at all or Rarely

Somewhat or Sometimes

Very or Often

Extremely or Almost Always

22. I take responsibility for what I do.

Not at all or Rarely

Somewhat or Sometimes

Very or Often

Extremely or Almost Always

23. I tell the truth even when it is not easy.

Not at all or Rarely

Somewhat or Sometimes

Very or Often

Extremely or Almost Always

24. I accept people who are different from me.

Not at all or Rarely

Somewhat or Sometimes

Very or Often

Extremely or Almost Always

25. I feel safe at school.

Not at all or Rarely

Somewhat or Sometimes

Very or Often

Extremely or Almost Always

26. I am actively engaged in learning new things.

Not at all or Rarely

Somewhat or Sometimes

Very or Often

Extremely or Almost Always

27. I am developing a sense of purpose in my life.

Not at all or Rarely

Somewhat or Sometimes

Very or Often

Extremely or Almost Always

28. I am encouraged to try things that might be good for me.

Not at all or Rarely

Somewhat or Sometimes

Very or Often

Extremely or Almost Always

29. I am included in family tasks and decisions.

Not at all or Rarely

Somewhat or Sometimes

Very or Often

Extremely or Almost Always

30. I am helping to make my community a better place.

Not at all or Rarely

Somewhat or Sometimes

Very or Often

Extremely or Almost Always

31. I am involved in a religious group or activity.

Not at all or Rarely

Somewhat or Sometimes

Very or Often

Extremely or Almost Always

32. I am developing good health habits.

Not at all or Rarely

Somewhat or Sometimes

Very or Often

Extremely or Almost Always

33. I am encouraged to help others.

Not at all or Rarely

Somewhat or Sometimes

Very or Often

Extremely or Almost Always

34. I am involved in a sport, club, or other group.

Not at all or Rarely

Somewhat or Sometimes

Very or Often

Extremely or Almost Always

35. I am trying to help solve social problems.

Not at all or Rarely

Somewhat or Sometimes

Very or Often

Extremely or Almost Always

36. I am given useful roles and responsibilities.

Not at all or Rarely

Somewhat or Sometimes

Very or Often

Extremely or Almost Always

37. I am developing respect for other people.

Not at all or Rarely

Somewhat or Sometimes

Very or Often

Extremely or Almost Always

38. I am eager to do well in school and other activities.

Not at all or Rarely

Somewhat or Sometimes

Very or Often

Extremely or Almost Always

39. I am sensitive to the needs and feelings of others.

Not at all or Rarely

Somewhat or Sometimes

Very or Often

Extremely or Almost Always

40. I am involved in creative things such as music, theater, or art.

Not at all or Rarely

Somewhat or Sometimes

Very or Often

Extremely or Almost Always

41. I am serving others in my community.

Not at all or Rarely

Somewhat or Sometimes

Very or Often

Extremely or Almost Always

42. I am spending quality time at home with my parent(s).

Not at all or Rarely

Somewhat or Sometimes

Very or Often

Extremely or Almost Always

43. I have friends who set good examples for me.

Not at all or Rarely

Somewhat or Sometimes

Very or Often

Extremely or Almost Always

44. I have a school that gives students clear rules.

Not at all or Rarely

Somewhat or Sometimes

Very or Often

Extremely or Almost Always

45. I have adults who are good role models for me.

Not at all or Rarely

Somewhat or Sometimes

Very or Often

Extremely or Almost Always

46. I have a safe neighborhood.

Not at all or Rarely

Somewhat or Sometimes

Very or Often

Extremely or Almost Always

47. I have parent(s) who try to help me succeed.

Not at all or Rarely

Somewhat or Sometimes

Very or Often

Extremely or Almost Always

48. I have good neighbors who care about me.

Not at all or Rarely

Somewhat or Sometimes

Very or Often

Extremely or Almost Always

49. I have a school that cares about kids and encourages them.

Not at all or Rarely

Somewhat or Sometimes

Very or Often

Extremely or Almost Always

50. I have teachers who urge me to develop and achieve.

Not at all or Rarely

Somewhat or Sometimes

Very or Often

Extremely or Almost Always

51. I have support from adults other than my parents.

Not at all or Rarely

Somewhat or Sometimes

Very or Often

Extremely or Almost Always

52. I have a family that provides me with clear rules.

Not at all or Rarely

Somewhat or Sometimes

Very or Often

Extremely or Almost Always

53. I have parent(s) who urge me to do well in school.

Not at all or Rarely

Somewhat or Sometimes

Very or Often

Extremely or Almost Always

54. I have a family that gives me love and support.

Not at all or Rarely

Somewhat or Sometimes

Very or Often

Extremely or Almost Always

55. I have neighbors who help watch out for me.

Not at all or Rarely

Somewhat or Sometimes

Very or Often

Extremely or Almost Always

56. I have parent(s) who are good at talking with me about things.

Not at all or Rarely

Somewhat or Sometimes

Very or Often

Extremely or Almost Always

57. I have a school that enforces rules fairly.

Not at all or Rarely

Somewhat or Sometimes

Very or Often

Extremely or Almost Always

58. I have a family that knows where I am and what I am doing.

Not at all or Rarely

Somewhat or Sometimes

Very or Often

Extremely or Almost Always

CAPTCHA

Good Samaritan Community Services

***PLEASE ENSURE THAT YOUR CHILD COMPLETES THIS SURVEY***

Developmental Assets Profile

Developmental Assets Profile

PLEASE ENSURE THAT YOUR CHILD COMPLETES THIS SURVEY