Character Value Reflection Form Teacher Name* First Last Teacher Email* Student Name* First Last Student Email* Positive TraitsBased on scoring 1-5 with 1 being the lowest and 5 being the highestConfident* 1 2 3 4 5 Leader, takes initiative* 1 2 3 4 5 Assertive, dominant* 1 2 3 4 5 Independent, dependent on few things* 1 2 3 4 5 Logical, thinks before acting* 1 2 3 4 5 Mature, wise, cautious* 1 2 3 4 5 Decisive* 1 2 3 4 5 Opinionated, able to take a stand* 1 2 3 4 5 Willing to endure, competent, strong willed* 1 2 3 4 5 Challenges self, is self disciplined* 1 2 3 4 5 Ambitious, has goals* 1 2 3 4 5 Desire for great accomplishment* 1 2 3 4 5 Desire for self satisfaction, pride* 1 2 3 4 5 Individualistic, desire to be different* 1 2 3 4 5 Sense of morale (sex, drugs, violence, etc..)* 1 2 3 4 5 Hardworking, diligent* 1 2 3 4 5 Reliable, responsible, keeps promises* 1 2 3 4 5 Takes responsibility for own actions* 1 2 3 4 5 Outgoing, involved, social* 1 2 3 4 5 Extroverted, communicates feelings* 1 2 3 4 5 Confrontational, responsive, problem solving* 1 2 3 4 5 Emotionally stable, mentally strong* 1 2 3 4 5 Not too easily angered, agitated* 1 2 3 4 5 Generally balanced level of stress* 1 2 3 4 5 Generous, selfless, charitable* 1 2 3 4 5 Caring of others, protective* 1 2 3 4 5 Sacrificial, gives up self for others* 1 2 3 4 5 Humble, modest* 1 2 3 4 5 Follows rules, follows civic duty* 1 2 3 4 5 Peaceful, tranquil* 1 2 3 4 5 Cooperative, team worker* 1 2 3 4 5 Optimistic, realistic* 1 2 3 4 5 Shows gratitude, gratefulness* 1 2 3 4 5 Frugal, conserves resources, practical* 1 2 3 4 5 Insightful, observant* 1 2 3 4 5 Compassionate, interested, shows concern* 1 2 3 4 5 Flexible, adapts well to new situations* 1 2 3 4 5 Forgiving, laidback* 1 2 3 4 5 Not jealous* 1 2 3 4 5 Loyal, showing fidelity* 1 2 3 4 5 Courageous, risk taker* 1 2 3 4 5 Trusting* 1 2 3 4 5