The Arc’s Self-Determination Scale
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Subdomain: Independence
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Routine Personal Care and Family Oriented Functions
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1. I make my own meals or snacks.
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2. I care for my own clothes.
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3. I do chores in my home.
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4. I keep my own personal items together.
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5. I do simple first aid or medical care for myself.
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6. I keep good personal care and grooming.
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Interaction with the Environment
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7. I make friends with other kids my age.
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8. I use the post office.
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9. I keep my appointments and meetings.
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10. I deal with salespeople at stores and restaurants.
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Subdomain: Acting on the Basis of Preferences‚ Beliefs‚ Interests and Abilities
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Recreational and Leisure Time
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11. I do free time activities based on my interests.
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12. I plan weekend activities that I like to do.
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13. I am involved in school-related activities.
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14. My friends and I choose activities that we want to do.
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15. I write letters‚ notes or talk on the phone to friends and family.
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16. I listen to music that I like.
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Community Involvement and Interaction
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17. I volunteer in things that I am interested in.
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18. I go to restaurants that I like.
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19. I go to movies‚ concerts‚ and dances.
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20. I go shopping or spend time at shopping centers or shopping malls.
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21. I take part in youth groups (like 4-H‚ scouting‚ church groups)
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Post-School Directions
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22. I do school and free time activities based on my career interests.
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23. I work on school work that will improve my career chances.
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24. I make long-range career plans.
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25. I work or have worked to earn money.
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26. I am in or have been in career or job classes or training.
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27. I have looked into job interests by visiting work sites or talking to people in that job.
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Personal Expressions
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28. I choose my clothes and the personal items I use every day.
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29. I choose my own hair style.
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30. I choose gifts to give to family and friends.
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31. I decorate my own room.
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32. I choose how to spend my personal money.
Self-Regulation
The Self-Regulation section consists of two subdomains‚ with questions which require students to write (or dictate) answers.
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58. I do not feel ashamed of any of my emotions
59. I feel free to be angry at people I care for.
60. I can show my feelings even
61. I can like people even if I don't agree with them.
62. I am afraid of doing things wrong.
63. It is better to be yourself than to be popular.
64. I am loved because I give love.
65. I know what I do best.
66. I don't accept my own limitations.
67. I feel I cannot do many things.
68. I like myself.
69. I am not an important person.
70. I know how to make up for my limitations.
71. Other people like me.
72. I am confident in my abilities.
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