4th Grade Self-Regulation [Student ID: 10120656]

Instance of: Empathy Questionnaire (7-12)
Administered By: Kerr, Dee
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Grade: 7Gender: male Date Taken: 9/7/17
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This questionnaire measures two important components of empathy:
1. Try to Understand Others: Do you try to see things from other people's perspectives? Can you relate to how they're feeling?

2. Show Your Understanding: Do you let people know that you understand?

The graph highlights your strengths.



QuestionReversed?TopicVERY
like me		54321NOT
like me
1. I try to see things from other people's point of view.Understand Others
2. When I don't understand someone's point of view, I ask questions to learn more.Understand Others
3. When I disagree with others, it's hard for me to understand their perspective.YESUnderstand Others
4. I consider people's circumstances when I'm talking with them.Understand Others
5. I try to imagine how I would feel in someone else's situation.Understand Others
6. When someone is upset, I try to remember a time when I felt the same way.Understand Others
7. When I'm reading a book or watching a movie, I think about how I would react if I was one of the characters.Understand Others
8. Sometimes I wonder what it would feel like to be in my parents' situation.Understand Others
9. When a friend is upset, I try to show them that I understand how they feel.Show Understanding
10. I say things like "I can see why you feel that way." Show Understanding
11. I've been known to say "You are wrong" when someone is sharing their opinion.YESShow Understanding
12. When a friend or family member is sad, my actions let them know I understand (like a hug or a pat on the back).Show Understanding
13. I say things like "Something like that happended to me once, I understand how you feel."Show Understanding
14. I've told my friends things like, "You shouldn't be upset about that" or "stop feeling that way."YESShow Understanding
15. When I know one of my friends is upset, I try to talk to them about it.Show Understanding