QUESTIONNAIRE

Social and demographical data

Gender. 1. Male 2. Female

Age: __15______ years

Grade: ___10__

Family data

The total number of family members (including the respondent):___5____ members

The average income/family/month: ___2500________

Residence: 1. Rural 2. Urban

Living with: 1. Both parents 2. One parent 3. Other relatives

Mother's education:
0. No school 5. 9-10 grades
1. Unfinished elementary school 6. High school
2. Elementary school 7. College
3. 5-8 grades 8. University
4. Vocational school

School data

Did you have any disciplinary violations in the last year of study? 1. Yes 2. No

The number of absences from school in the last year of study ___23___

The average academic performance in the last year of study: ____9.25_______

Did you have failed exams in the last year of study? 1. Yes 2. No

Have you repeated any previous year of study? 1. Yes 2. No

Involvement in nonformal/extracurricular activities

How frequently have you been involved in the following activities with your school
colleagues? (where 1 = never, and 5= always)

1. Sport activities (e.g. football, volley, handball etc.) 1 2 3 4 5

2. Cultural activities (ex. cinema, theatre, concerts etc.) 1 2 3 4 5

3. Outdoor activities (ex. walking, camping etc) 1 2 3 4 5

Self-esteem

Circle one response for each of the following 10 items (1= strongly disagree; 2 = disagree; 3 = agree; 4 =
strongly agree

1. I feel I have a number of good qualities 1 2 3 4

2. I certainly feel useless at times* 1 2 3 4
3. I feel I am a person of worth, at least on an equal plane with others 1 2 3 4
4. I wish I had more respect for myself* 1 2 3 4
5. I am able to do things as well as most other people 1 2 3 4
6. At times I think I am no good at all* 1 2 3 4
7. I take a positive attitude toward myself 1 2 3 4
8. I do not have much to be proud of* 1 2 3 4
9. On the whole, I am satisfied with myself 1 2 3 4
10. I am inclined to feel that I am a failure* 1 2 3 4

Academic self-efficacy

To what extent the following statements are true for you. Circle the appropriate value: 1 =
not at all true; 2 = hardly true; 3 = moderately true; 4 = exactly true

1. I am convinced that I am able to successfully learn all relevant subject content even if 1 2 3 4
it is difficult.
2. I know that I can maintain a positive attitude toward this course even when tensions 1 2 3 4
arise.
3. When I try really hard, I am able to learn even the most difficult content. 1 2 3 4

4. I am convinced that, as time goes by, I will continue to become more and more capable 1 2 3 4
of learning the content of this course.
5. Even if I get distracted in class, I am confident that I can continue to learn well. 1 2 3 4

6. I am confident in my ability to learn, even if I am having a bad day. 1 2 3 4

7. If I try hard enough, I can obtain the academic goals I desire. 1 2 3 4

8. I am convinced that I can develop creative ways to cope with the stress that may occur 1 2 3 4
while taking this course.
9. I know that I can stay motivated to participate in the course. 1 2 3 4

10. I know that I can finish the assigned projects and earn the grade I want, even when 1 2 3 4
others think I can’t.

Wellbeing
Please indicate for each of the 5 All of Most of More than Less than Some of At no
statements, which is the closest to how the the time half of the half of the the time time
you have been feeling over the last time time time
2weeks.
1. I have felt cheerful and in good 5 4 3 2 1 0
spirits
2. I have felt calm and relaxed 5 4 3 2 1 0
3. I have felt active and vigorous 5 4 3 2 1 0
4. I woke up feeling fresh and rested 5 4 3 2 1 0
5. My daily life has been filled with 5 4 3 2 1 0
things that interest me

The multidimensional scale of perceived social support

We are interested in how you feel about the following statements. Read each statement carefully.
Indicate how you feel about each statement.
Circle the “1” if you Very Strongly Disagree
Circle the “2” if you Strongly Disagree
Circle the “3” if you Mildly Disagree
Circle the “4” if you are Neutral
Circle the “5” if you Mildly Agree
Circle the “6” if you Strongly Agree
Circle the “7” if you Very Strongly Agree

1. There is a special person who is around when I am in need. 1 2 3 4 5 6 7

2. There is a special person with whom I can share my joys and 1 2 3 4 5 6 7

sorrows.
3. My family really tries to help me. 1 2 3 4 5 6 7

4. I get the emotional help and support I need from my family. 1 2 3 4 5 6 7

5. I have a special person who is a real source of comfort to me. 1 2 3 4 5 6 7

6. My friends really try to help me. 1 2 3 4 5 6 7

7. I can count on my friends when things go wrong. 1 2 3 4 5 6 7

8. I can talk about my problems with my family. 1 2 3 4 5 6 7

9. I have friends with whom I can share my joys and sorrows. 1 2 3 4 5 6 7

10. There is a special person in my life who cares about my feelings. 1 2 3 4 5 6 7

11. My family is willing to help me make decisions. 1 2 3 4 5 6 7

12. I can talk about my problems with my friends. 1 2 3 4 5 6 7

Total scores

Involvement in nonformal/extracurricular activities = the sum of scores from the 3 items

Self-esteem = the sum of scores from the 10 items, after reversing the items 2, 4, 6, 8, and 10

Academic self-efficacy = the sum of scores from the 10 items

Wellbeing = the sum of scores from the 5 items

The multidimensional scale of perceived social support = the sum of scores from the 12 items