[form] STAR05 "HASSLE DIARY" Your Name please: [text,r_name,30] Email: [text,r_email,30] ------------------------------------------------------------------------ TIME of DAY [radio,time,morning] Morning [radio,time,afternoon] Afternoon [radio,time,evening] Evening <><><><><><><><><><><><><><><><><><><><> WHERE were YOU? Select which is appropriate or write in your alternative SCHOOL - LEARNING PLACE [radio,where,Classroom] Classroom [radio,where,Corridor] Corridor [radio,where,Playground] Playground [radio,where,Gym] Gym [radio,where,other01]OTHER[text,other school place,70] <><><><><><><><><><><><><><><><><><><><> HOME - Where you stay [radio,where,kitchen] Kitchen [radio,where,lounge] Lounge [radio,where,bedroom] Bedroom [radio,where,Outside] Outside [radio,where,other02]OTHER[text,other HOME place,70] <><><><><><><><><><><><><><><><><><><><> Elsewhere [radio,where,on the street] On the street [radio,where,Shops] Shops or Stores [radio,where,Public Transport] Public Transport [radio,where,another residence] Another residence [radio,where,workplace-office] Workplace - Office [radio,where,restaurant cafe lunchroom] restaurant cafe lunchroom [radio,where,other03]OTHER[text,other Residence,70] <><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><> WHAT HAPPENED? [radio,what-happened,somebody teased me] Somebody teased me [radio,what-happened,Somebody yelled at me] Somebody yelled at me [radio,what-happened,Somebody took something from me] Somebody took something from me [radio,what-happened,I got into trouble] I got into trouble [radio,what-happened,somebody told me to do something] somebody told me to do something [radio,what-happened,Somebody abused or swore at me] Somebody abused or swore at me [radio,what-happened,somebody was doing something I didn't like] somebody was doing something I didn't like [radio,what-happened,I did something wrong] I did something wrong [radio,what-happened,somebody started fighting with me] Somebody started fighting with me [radio,what-happened,other01]OTHER[text,other happening,70] <><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><> WHO ELSE WAS INVOLVED? [radio,WHO-else,another adult student workmate] Another Adult, student, workmate [radio,WHO-else,a group of people] A group of people [radio,WHO-else,Teacher Supervisor Authority figure] Teacher, Supervisor, Authority Figure [radio,WHO-else,family member Parent] Family member, Parent [radio,WHO-else,team member] Team member [radio,WHO-else,stranger(s)] stranger(s) [radio,WHO-else,other01]OTHER[text,other persons,70] <><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><> WHAT did YOU DO? [radio,WHAT I did,Hit back] Hit back [radio,WHAT I did,Ran away] Ran away [radio,WHAT I did,Yelled swore back] Yelled Swore back [radio,WHAT I did,Cried Wept] Cried Wept [radio,WHAT I did,Broke something] Broke something [radio,WHAT I did,Used Anger Control] Used Anger Control [radio,WHAT I did,Told an authority figure] Told an Authority Figure [radio,WHAT I did,Walked away calmly - time out] Walked away calmly - Time out [radio,WHAT I did,Talked it through] Talked it through [radio,WHAT I did,Got some advice - talked with a friend] Got some advice - talked with a friend [radio,WHAT I did,Ignored it all] Ignored it all [radio,WHAT I did,other01]OTHER[text,other response,70] <><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><> HOW EFFECTIVELY DID YOU HANDLE YOURSELF? How effective are your negative behaviours or actions to the undesirable problem? [list,effectivebehaviour] [[option,Choose,Choose effectiveness,selected] [option,very effective,Very Effective] [option,somewhat effective,Somewhat Effective] [option,Somewhatineffective,Somewhat Ineffective] [option,Veryeffective,Very Ineffective] [/list] HOW angry were you? [list,anger-level] [option,Choose,Choose Intensity Level,selected] [option,Not at all 0%,10% Not at all] [option,10%,10%] [option,20% A little,20% A little] [option,30%,30%] [option,40%,40%] [option,50% Medium,50% Medium] [option,60%,60%] [option,70% A lot,70% A lot] [option,80%,80%] [option,90% Quite a lot,90% Quite a lot] [option,100% Most Ive ever felt,100% Most I have ever felt] [/list] ------------------------------------------------------------------------ Questions or Comments including how you experienced any tension [textarea,questions or comments,3,70] [checkbox,send copy,checked] To receive a copy of your work here. Uncheck it if you have printed off a hardcopy for yourself. [submit,SEND this Entry][reset,Start Over again] [/form]