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Student Interest Survey
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Name
:
A red asterisk (*) indicates required questions.
Who do you live with?
*
Both Parents Full-Time
Mom only
Dad only
Mom sometimes and Dad sometimes
Grandparents
Other
Favorite Subject
*
ELA
Math
Science
Social Studies
What is your least favorite subject?
*
ELA
Math
Science
Social Studies
Have you ever failed a grade?
*
No
Yes
How many siblings do you have at home? (brothers/sisters)
*
1
2
3
4
5 or more
Do you like GATE?
*
no
yes
Is GATE challenging?
*
no
yes
Do you like doing projects?
*
no
yes
What would you like to learn about this year in GATE?
*
If you could change anything about GATE, what would you change?
*
Mrs. Crawford
GATE Teacher
Ware Shoals Elementary School
Ware Shoals, SC
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