Getting to Know You

The more I know about you, the more I can help you be successful!
Name: 


Describe the qualities of an excellent teacher.


My basic facts are committed to memory. (For example: 6 x 4)
  1 2 3 4 5  
Strongly agree   Strongly disagree


I always do my homework.
  1 2 3 4 5  
Strongly agree   Strongly disagree


Write anything special you would like your teacher to know about you.


I participate in class.
 
  1 2 3 4 5  
Always  Never


What is(are) your favorite subject(s)? (Select all that apply)
Math
Reading
Science
Social Studies
Writing
Foreign Language
Physical Education
Art
Music


In Math, I always show work when required.
  1 2 3 4 5  
Strongly agree   Strongly disagree


I try my best.
 
  1 2 3 4 5  
Always  Never


I remember to put my name on my papers.
 
  1 2 3 4 5  
Always  Never


I really don’t care about Math or the consequences to failing Math.
  1 2 3 4 5  
Strongly agree   Strongly disagree


I bring something to write with to class.
 
  1 2 3 4 5  
Always  Never


I leave enough time to do a quality job on homework.
  1 2 3 4 5  
Strongly agree   Strongly disagree


If I don't understand the homework, I'll ask my parents for help.
  1 2 3 4 5  
Strongly agree   Strongly disagree


I put doing my homework before watching my favorite television program.
  1 2 3 4 5  
Strongly agree   Strongly disagree


Describe what you are looking forward to in sixth grade.


Describe something you are NOT looking forward to in sixth grade. (Perhaps a fear)


I am rarely distracted in class.
  1 2 3 4 5  
Strongly agree   Strongly disagree


Pets that you have at home: (Select all that apply).
dog
cat
reptile
hamster
fish
bird
horse
cattle
other


In Math, I often confuse one process with another.
  1 2 3 4 5  
Strongly agree   Strongly disagree


In Math, I often make computation errors.
  1 2 3 4 5  
Strongly agree   Strongly disagree


I do my homework without an adult pressuring me.
  1 2 3 4 5  
Strongly agree   Strongly disagree


I put papers where they belong.
 
  1 2 3 4 5  
Always  Never


I get frustrated, easily and go into "shut down" mode.
  1 2 3 4 5  
Strongly agree   Strongly disagree


Personal interest: (Select all that apply)
football
basebal
basketball
hockey
tennis
ice-skating
roller-skating or in-line skating
track
lacrosse
soccer
volleyball
a sport that is not listed
other
arts & crafts
animal care
muscial instrument
agriculture
professional wrestling
NASCAR
video games
computers and technology


I stay organized by filling out my agenda book daily.
  1 2 3 4 5  
Strongly agree   Strongly disagree


I get myself out of bed in the morning.
  1 2 3 4 5  
Strongly agree   Strongly disagree


I bring the required materials to class.
 
  1 2 3 4 5  
Always  Never


I can find worksheets that were passed out the previous day in class.
 
  1 2 3 4 5  
Always  Never


My parents know what my homework assignments are.
  1 2 3 4 5  
Strongly agree   Strongly disagree





Mrs. Bianchi (Detrick )
Lisha Kill Middle School, Grade 6 (Team: Route 66ers)
Lisha Kill Middle School
Colonie, NY