| 1. In the past year have you.... helped anyone? |
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| 2. gossiped or said bad things about anyone? |
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| 3. ignored someone who needed you? |
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| 4. apologized when doing something wrong? |
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| 5. gave money or donated your time to any causes |
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| 6. stood up to someone who was doing something wrong? |
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| 7. stole anything (including from stores, your friends, your parents) |
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| 8. physically hurt anyone? |
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| 9. emotionally? |
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| 10. lied to anyone? |
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| 11. In the past year.... When someone was mean to you, what did you do? |
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| 12. Done something for another even though it was painful or inconvenient? |
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| 13. When you got presents did you say thank you? |
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| 14. When your friend was annoying you did you.... |
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| 15. Have you complimented anyone? |
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| 16. Have you broken the law? |
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