Course Questionnaire

Please fill out the following questionnaire so I can get to know you better. Please be honest and keep in mind that I will not share any sensitive information with class.


         

       

Name: 


A red asterisk (*) indicates required questions.

  1. Why are you taking this course? (you can select more than one answer).*
    Required
    Personal Interest
    I couldn't get into French.


  1. What year are you?
    Senior
    Junior
    Sophomore
    Freshman


  1. My current grade point average is
    3.5-4.0
    3.0-3.4
    2.5-2.9
    2.0-2.4
    Below 1.9


  1. Do you receive or plan to apply for "free lunch?"
    Yes
    No


  1. Have you taken Spanish before? *
    Yes
    No


  1. If yes, how long ago did you take it?
    Last semester
    2 semester ago
    3 or more semester ago


  1. If you took Spanish before, what grade did you make in this course?
    A
    B
    C
    D
    F


  1. If you took Spanish before, how much of the course was taught in Spanish (not in English)?
    0%-20% in Spanish
    20%-40% in Spanish
    40%-60% in Spanish
    60%-80% in Spanish
    80%-100% in Spanish


  1. Have you taken any other languages?*
    Yes
    No


  1. Do you speak any other languages besides English?*
    Yes (fluently)
    Yes (a little)
    No (not at all)


  1. Have you ever traveled outside the United States?
    Yes
    No


  1. If so, where have you traveled?


  1. I enjoy high school
    Most of the time
    Some of the time
    Rarely


  1. Learning styles are simply different approaches or ways of learning. I think I am a
    Visual Learner: learn through seeing...
    Auditory Learner: learn through listening...
    Tactile/Kinesthetic Learner: learn through , moving, doing and touching


  1. Multiple Intelligences are eight different ways to demonstrate intellectual ability and everyone has varying degrees of intelligences. How do you think you are "intelligent"? (you can choose multiple answers)
    Linguistic intelligence ("word smart"):
    Logical-mathematical intelligence ("number/reasoning smart")
    Spatial intelligence ("picture smart")
    Bodily-Kinesthetic intelligence ("body smart")
    Musical intelligence ("music smart")
    Interpersonal intelligence ("people smart")
    Intrapersonal intelligence ("self smart")
    Naturalist intelligence ("nature smart")


  1. The type of music I listen to (you can choose more than one)
    Rap & Hip Hop
    Rock
    Country
    Classical
    Jazz
    Electronic
    Heavy Metal
    Alternative
    Disco
    Pop
    Rhythm and Blues
    Classic Rock
    Oldies
    Other


  1. How do you normally get to school?
    Take the bus
    Drive my own car
    Drive with someone else
    Walk
    Ride a bike


  1. If I had $50, I would buy


  1. I get in trouble (discipline referrals)...
    A lot (more than 6 times a semester)
    Frequently (3-5 times a semester)
    Rarely (1-2 times a semester)
    Never


  1. If you get in trouble frequently or a lot, what is it that you usually have problems with (even if it's not for a referral)?


  1. What do you like in a teacher?


  1. How would you describe yourself? Is there anything else I should know about you?


  1. I live with...
    My mom and dad
    My mom
    My dad
    My guardian


  1. What is your parent/guardians' name(s)?


  1. What is your parent/guardians' phone number(s)? Work and Home


  1. What is your parent/guardians' email (if they have one)?


  1. Tell me about your personal interests (hobbies, what you like to do with your free time).


  1. I participate in extracurricular school activities.
    Yes
    No


  1. If yes, I participate in
    Football
    Basketball
    Soccer
    Baseball
    Softball
    Band
    Chorus
    Drama
    Volleyball
    Wrestling
    Yearbook
    Other


  1. Are there any special needs that you have in my course?


  1. My favorite role model is


  1. Where are you from?
    SC
    NC
    GA
    Other


  1. I live in a
    House
    Apartment
    Town House


  1. What is your race (you can choose more than one response)
    African American
    White
    Asian
    Amerindian (indigenous to the Americas)
    Native American
    Other


  1. What type of internet connection to you have at home?
    High Speed (Cable or DSL)
    Dial up
    None


  1. If you don't have internet access, do you know someone who would let you use theirs?
    Yes
    No
    Maybe


  1. Did you know the media center has computers available in the morning and after school until 4:15 p.m.?
    Yes
    No


  1. Do you have a cell phone?
    Yes
    No


  1. How much time do you normally spend on school-work per week?
    less than 1 hour
    1-3 hours
    3-5 hours
    more than 5 hours per week


  1. Who do you know that speaks Spanish?
    Friends
    Family
    Family and Friends
    Only Acquaintances


  1. Put in order from most to least effective punishment (1 being most effective)
        1 2 3 4 5 6 7 8 9 10
    Discipline Referral  
    Warning from Teacher  
    Call Home  
    Teacher Conference  
    Lunch Detention  
    After School Detention  
    Saturday Detention  
    ISS  
    OSS  
    Expulsion  


  1. Who is your favorite musical group, singer, performer?


  1. What is your favorite television show?





Señor Johnson
Spanish Teacher
Nation Ford High School
SC