Homework Survey

Please fill out this questionaire so I can obtain the information I need to complete my research project. Thank you !


         

       

Name: 


A red asterisk (*) indicates required questions.

  1. What is your name?*


  1. What is your cell phone number?*


  1. Are you able to receive text messaging?*
    yes
    no


  1. What is your email address?*


  1. Would you be interested in participating in a research study that would allow me to text message and email you to remind you about upcoming assignments that are due? *
    yes
    no





Ms. Webster
teacher
Facing History New Tech High School, Room 327
Cleveland, OH