Back to School Survey 2020
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Name: 


A red asterisk (*) indicates required questions.

  1. How strongly do you agree with the following statement?
    "I will seek extra help when needed through in person or Google Meet (as appropriate)."*
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. How strongly do you agree with the following statement?
    "I will be successful in social studies this year."*
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. How strongly do you agree with the following statement?
    "I will ask for help if I don't understand something."*
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. How strongly do you agree with the following statement?
    I enjoy working in groups when completing assignments.*
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. How strongly do you agree with the following statement?
    "I will submit my assignments on time."*
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. How much time do you typically spend on homework each night?*
    0-20 minutes
    20-40 minutes
    40- 60 minutes
    More than 1 hour


  1. How strongly do you agree with the following statement?
    "Tests stress me out."*
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. How strongly do you agree with the following statement?
    "I enjoy coming to school."*
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. In a word, describe school.*


  1. Write one word that describes you as a person.*


  1. Write down one word you would use to describe how you feel about Social Studies class.*


  1. What subjects do you enjoy studying the most?*


  1. What extracurricular activities (sports, music, clubs, etc) do you want to participate in this year?*


  1. What are your favorite things to do when you're not in school?*


  1. What kind of job/career interests you? *


  1. When are you able to come for extra help, if needed, this year? (Choose all that apply)*
    afterschool
    FLEX
    study hall
    lunch





Ms. Haskel
C.J. Hooker Middle School
NY