1.  I Have some friends who have disabilities.

        Yes_____          No_____          Maybe_____

2.  If my brother or sister had disabilities, I would be ashamed to talk about it.

        Yes_____          No_____          Maybe_____

3.  If there were a new t.v. show about kids with disabilities, I would watch it.

        Yes_____          No_____          Maybe_____

4.  I don't think kids who have disabilities should be in my classroom at school.

        Yes_____          No_____          Maybe_____

5.  I have talked to people who use wheelchairs.

        Yes_____          No_____          Maybe_____

6.  If I found out that someone is mentally retarded, I would still be his/her friend.

        Yes_____          No_____          Maybe_____

7.  There is no reason for me to spend time with anyone who has a disability.

        Yes_____          No_____          Maybe_____

8.  I think that a student who is deaf or blind could be in my class.

        Yes_____          No_____          Maybe_____

9.  I think I could be good friends with a student from _______________ class.

        Yes_____          No_____          Maybe_____

10. I have helped some people who use wheelchairs.

        Yes_____          No_____          Maybe_____

11. I say "Hi" to people who have a disability.

        Yes_____          No_____          Maybe_____

12. I really don't like to sit next to someone in the lunchroom who is a messy eater.

        Yes_____          No_____          Maybe_____