1. Are you active in class?

☐ Yes
☐ No

2. Is it hard for you to pass your activities on time?

☐ Yes
☐ No

3. Do you sometimes have a bad grade for passing your activities late?

☐ Yes
☐ No

4. When you see that the teacher is sad, do you get the same feeling?

☐ Yes
☐ No

5. Do you think that the subjects do not matter but the way that the teacher is
teaching does?

☐ Yes
☐ No

6. Are you lazy in doing your activities?

☐ Yes
☐ No

7. Can you handle the stress when you have a lot of activities to comply?
 ☐ Yes
☐ No

8. Do you think that the teachers pressure you?

☐ Yes
☐ No

9. Have you ever thought about yourself that you will fail in the future?

☐ Yes
☐ No

10. Have you ever thought about skipping classes?

☐ Yes
☐ No

11. Are you a type of students that does not take school seriously?

☐ Yes
☐ No

12. Do you have the interest in listening to the teachers?

☐ Yes
☐ No

13. Do you tend to sleep in class?

 ☐ Yes
☐ No

14. Can you focus in class times?

☐ Yes
☐ No

15. Should the teacher inform the students about the activities on time?

☐ Yes
☐ No

16. Do you get exhausted when you arrive home?

☐ Yes
☐ No

17. Are you scared to ask the teachers about your activities?

☐ Yes
☐ No

18. Do you get enough sleep when there is an activity to comply?

☐ Yes
☐ No

19. Do you have a disorder that have developed because of stress?

☐ Yes
 ☐ No

20. Do you get distracted easily?

☐ Yes
☐ No