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Name
:
A red asterisk (*) indicates required questions.
What name would you like your teacher to call you?
*
What is your favorite subject in school?
*
Science
Math
English/Language Arts
Social Studies
Foreign Language
Art
Music
Physical Education
Woodshop
Please rate this statement: I am comfortable using computers
*
1
2
3
4
5
Strongly agree
Strongly disagree
Please rate this statement: I am comfortable using wikis
*
1
2
3
4
5
Strongly agree
Strongly disagree
Do you have a computer at home?
*
Yes
No
Please rate this statement: I am comfortable using social networking sites such as MySpace or Facebook.
*
1
2
3
4
5
Strongly agree
Strongly disagree
I would rather...
*
work in a large group
work in a small group
work in pairs
work alone
I would rather...
*
complete assignments in class
complete assignments at home
complete assignments in study hall
My hobbies are...
*
I am really good at...
*
I learn best by... (check as many as needed)
listening to lectures
listening to discussions
participating in discussions
listening to videos
silently working through problems
talking through problems
actively participating
answering questions verbally
writing the answers to questions
teaching others
reading a textbook
reading online
sitting in the front of the room
watching demonstrations
doing lab work
completing short term projects
completing long term projects
completing online projects
taking notes
Please list any additional information that I need to know to help you be successful in this class.
Mrs. Zajac Beck
Science Teacher
Jeffco Virtual Academy
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