Student Information Survey

Please fill out this survey so that I can learn more about you and understand who I am teaching. This is an opportunity to let me know more about you.
Name: 


A red asterisk (*) indicates required questions.

  1. What is the name you wish to be called in class.*


  1. What grade do you want in Biology?*
    A
    B
    C
    I just want to pass.


  1. Would you consider yourself a good student?
    Yes
    No


  1. Do you do home work when it is assigned?*
    Yes
    No


  1. Are you considered one of the "bad" kids at the school?*
    Yes
    No


  1. Who was the best teacher that you have ever had and what made him or her a great teacher?*


  1. WHat do think the job of a teacher is?*


  1. What subject is your favorite?*
    math
    science
    english
    history
    art
    tech ed.


  1. How would you rate your behavior in your previous classes?*
      1 2 3 4 5  
    Excellent   Poor


  1. How would you rate your effort in previous classes?
      1 2 3 4 5  
    Excellent   Poor


  1. Rank the following ways of getting information from teacher to student that works best for you.
        1 2 3 4 5 6 7 8 9
    lecture/discussion  
    movie notes  
    reading  
    labs/hands on  
    homework  
    worksheets  
    demonstrations  
    games/practice  
    writing  


  1. What is your email address so that I can send you homework updates and grades?


  1. What is the name of your parents or guardians?*


  1. What is the phone number that your parents or guardians can be reached at?*


  1. What is your cell phone number (not mandatory). I might need to contact you if you are absent to get you information that you missed.





Mr. Jetton
Biology & Earth Science Teacher
Columbia Heights High School
Columbia Heights, MN 55421, MN