First Story survey

We are trying to find out how being involved in First Story affects people. First Story have therefore asked a group of researchers called LKMco to help them find out more.

We would like to collect information from you over the course of this year, including this survey and some of your written work. We will store it safely, analyse it, write reports, publish and share what we find out.

Your name will never be linked to what you say unless you specifically give your permission and what you say won’t be shared with your parents or teacher. You can also stop being involved at any point, just tell your teacher or someone from First Story (or email ). You can also email us to ask for more information about the research.

This research will be helpful because it will mean we can make sure more people learn more from First Story.

However, if you would rather not be involved it won’t stop you being involved in First Story.

I have read the information above and AM HAPPY to be involved in First Story’s research

I DO NOT want to be involved in First Story’s research

Name: ______School: ______

People have different ways of relating to their thoughts and feelings. For each of these statements, rate how much each of these ways applies to you.

Rarely/not at all / Sometimes / Often / Almost always
“It is easy for me to concentrate on what I am doing” / 1 / 2 / 3 / 4
“I have thoughts about the future on my mind” / 1 / 2 / 3 / 4
“I can put up with hurtful emotions” / 1 / 2 / 3 / 4
“I can accept things I cannot change” / 1 / 2 / 3 / 4
“I can usually describe how I feel at the moment in a lot of detail” / 1 / 2 / 3 / 4
“I am easily distracted” / 1 / 2 / 3 / 4
“I have thoughts about the past on my mind a lot” / 1 / 2 / 3 / 4
“It’s easy for me to keep track of my thoughts and feelings” / 1 / 2 / 3 / 4
“I try to notice my thoughts without judging them” / 1 / 2 / 3 / 4
“I am able to accept the thoughts and feelings I have” / 1 / 2 / 3 / 4
“I am able to focus on the present moment” / 1 / 2 / 3 / 4
“I am able to pay close attention to one thing for a long period of time” / 1 / 2 / 3 / 4

Please now tell us how much you agree or disagree with these statements.

Strongly disagree / Disagree / Neither agree nor disagree / Agree / Strongly Agree
“Creating things is important to me” / 1 / 2 / 3 / 4 / 5
“I am proud of the things I create” / 1 / 2 / 3 / 4 / 5
“When I am being creative I keep going until I am happy with my work” / 1 / 2 / 3 / 4 / 5
“I can think of lots of things I would like to do with my life” / 1 / 2 / 3 / 4 / 5
“I have a lot of options in life” / 1 / 2 / 3 / 4 / 5

Please turn over!

Please tell us how much you agree or disagree with these statements.

Strongly disagree / Disagree / Neither agree nor disagree / Agree / Strongly Agree
“I am able to solve problems even when the solution is not immediately obvious” / 1 / 2 / 3 / 4 / 5
"I can weigh up the reasons for and against different arguments” / 1 / 2 / 3 / 4 / 5

Finally, please spend 5 minutes writing “My First Memory” – this can be factual or fictional, it’s entirely up to you. Feel free to continue on another page if you need more space!

Many thanks for your help. It’s much appreciated!