Are You a Responsible Person? You are a member of the _______School Community. At _______ School, you are responsible for living the Gospel Value of Responsibility. This questionnaire is an opportunity to assess your level of responsibility in an honest way. True False Sometimes True False Sometimes True False Sometimes True False Sometimes True False Sometimes True False Sometimes I do what needs to be done at home and at school. I am reliable and dependable. I am prepared to take on extra roles of responsibility, and I meet them. I am accountable for my actions; I don’t make excuses or blame others. I use good judgement, and think through the consequences of my actions. I exercise self-control. I think I am/am not a responsible person because: ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ One area I could improve on is: ____________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________