JFK Peer Mediation Survey

Peer Mediation Survey
John F. Kennedy Elementary School

School Peer Mediation Survey
Please fill out this survey the best that you can. You answers will help us choose this years Peer Mediators.
Information about you
First Name
Last Name
Today's Date	mm/dd/yyyy
Grade	4th 5th
Homeroom Teacher
Days Available for Training	Monday Tuesday Wednesday	Thursday Friday
Information about your peers (your own opinion)
Name four students that you like to work with
Name four students you think are peaceful people
Name four students that you trust
Name four students who are nice to everyone
Name four students that are good listeners
Name four students who are the first to know a rumor
Personality Traits
Personality Traits	Please select from three to five options from the dropdown menu below. To select more than one option, click your first option, depress and hold the ctrl key and continue making selections.
	What do you think are the most important personality traits a person should have as a Peer Mediator?
Comments
Comments	If you are interested in being a Peer Mediator, in the space below, please let us know the reasons why.