Give each student a copy of the worksheet. They should have roughly 10 minutes to work through and mark an X in each category to help them identify where they are learning their values from. Once all students have completed their self assessment, bring the class together and tally up where everyone is gaining their values from, if they have developed them at all. I find it helpful to project this onto the screen or write it out on the board so you can work as a class to agregate the data. Once you have a synopsis of what all students in the class are doing, you can begin discussion. The following is simply suggestion and definitely not a limit!
Most students chose "Family" for majority of values:
How might a person growing up with a weak family unit miss out on the values you have learned?
Why have you listened to your own family, and how might you apply that information to your own children (or current younger siblings) someday?
Most students chose "Friends" for majority of values:
Are friends always a good influence on our value systems?
Why do we listen to our friends? What role does peer pressure play here?
Most students chose "Community" for majority of values:
How might these values shift as you move from a rural to urban community or vice versa?
What duty do we have as citizens to uphold our community values?
Most students chose "Teachers/Religious Leaders" for majority of values:
How would these values change from religion to religion, and more importantly, how would they be the same?
Why might you learn different values from your FCS teacher than your math teacher?
How can we rely on wisdom to derive values?