Name ____________________________
Class period: 1
Student Survey
What are the
three most important things I should know about you?
_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
What are
things you are really good at?
_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
What have
you most loved learning (even if not in school)? Why?
_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
What’s your
favorite thing to do when you’re not in school?
_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
What is the
best book or books you have ever read?
_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
What do you
want to learn HOW to do?
_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
I think that
the upcoming school semester will be....
_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
What do you
love about school?
_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
What do you
not like about school?
_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
I work best
in a classroom that is....
_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Some things
I really want to work on this semester in school are....
_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
What do you
wish teachers would notice about you?
_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Do you have
access to a computer with internet at home?
___________
Do you have
a device such as a smartphone to bring to school? _________
Describe
what your typical afternoon looks like after school
_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Complete the sentence
When I get
mad, I
_______________________________________________________________________________
The best teachers for me are teachers that
_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
I really
need help with _______________________________________________________________________________
I am
comfortable speaking up in class. Would
you like to become more comfortable?
I prefer to
work in groups? in pairs? mostly
independently? (circle)
Anything else?
In what town
were you born?
How many people
live with you at home and who are they?
What are the
best numbers to reach your parent(s) or guardian?
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