Getting to Know You

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


Describe what you are looking forward to in sixth grade.


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


I stay organized by filling out my agenda book daily.
  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 am rarely distracted in class.
  1 2 3 4 5  
Strongly agree   Strongly disagree


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


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


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


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


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


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


Describe the qualities of an excellent teacher.


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


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


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


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 bring something to write with to class.
 
  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


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


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


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


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


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


In Math, I always show work when required.
  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 try my best.
 
  1 2 3 4 5  
Always  Never


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





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