Mission: Gender Equality, Carmen-Mirela Butaciu, LAM Lipova, Romania GENDER EQUALITY LESSON PLAN - Carmen Mirela Butaci | Page 5

Issue Key Question Response (circle) Never Seldom Sometimes Often Always Value: Do you feel you are as valuable as your peers of the opposite gender 1 2 3 4 5 Influence: Do you feel you have influence over decisions that impact your life? 1 2 3 4 5 Leadership: Do you believe you have the ability to lead groups? 1 2 3 4 5 Knowledge: Do you have the information you need to make informed arguments? 1 2 3 4 5 Confidence: Do you feel you can approach important people with ease? 1 2 3 4 5 Public speaking: Are you comfortable speaking out in a public way? 1 2 3 4 5 Ambition: Do you feel driven to make a change in the world around you? 1 2 3 4 5 Focus: Do you have a clear idea of what is important for you to change in the world? 1 2 3 4 5 Ability: Do you feel you can change the world if you put your mind to it? 1 2 3 4 5