Mr. Heitkamp's November Survey
Name (optional): 


A red asterisk (*) indicates required questions.

  1. I like where I sit in the classroon.*
    Yes
    No


  1. I have at least one friend in my class.*
    Yes
    No


  1. I like school, at least most of the time.*
    Yes
    No


  1. Mr. Heitkamp is fair.*
    A
    B
    C
    D
    F


  1. Mr. Heitkamp is a good teacher.*
    A
    B
    C
    D
    F


  1. Mr. Heitkamp is friendly.*
    A
    B
    C
    D
    F


  1. I think Mr. Heitkamp likes his job.*
    A
    B
    C
    D
    F


  1. I feel like Mr. Heitkamp will help me if I have a problem.*
    A
    B
    C
    D
    F


  1. Which of the following do I like the most? 9 for the best and 1 for the worst.*

          1 2 3 4 5 6 7 8 9    
      Reading   
      Writing   
      Literacy Study   
      Science   
      Social Studies   
      Computers   
      Music   
      Gym   
      Art   


  1. In the space below, type any questions, comments, or remarks you would like to make. This is a free space, so write anything you think that I should know about or you want to share. Thank you!





Robert Heitkamp