Being a Student/Who Am I?

Answer the questions as truthfully as you can. You DO NOT have to put your name on the survey.

Name (optional): 


A red asterisk (*) indicates required questions.


  1. How many hours a week do you spend______________________*

            1 2 3 4 5 6 7 8 9 10       N/A
      studying Spanish? 1 10  
      studying English? 1 10  
      studying Math? 1 10  
      studying Science 1 10  
      studying Health 1 10  
      studying Social Studies 1 10  
      studying some other elective class? 1 10  
      talking on the phone? 1 10  
      texting? 1 10  
      chatting on the computer? 1 10  
      playing/practicing sports for school? 1 10  
      playing some form of computer game? 1 10  
      reading for pleasure (novels, books, newspapers, magazines etc. . . .) 1 10  
      writing something creative? 1 10  
      talking with your parents 1 10  
      googling random information for fun? 1 10  
      checking out the news by email, tv, newspaper or some other source? 1 10  
      just hanging out with friends not doing anything particular? 1 10  
      staying after school to catch up on work or for tutoring? 1 10  
      really worrying about the next day and what bad things will happen? 1 10  
      dreaming/thinking about the future? 1 10  
      planning your future? 1 10  
      watching television? 1 10  
      listening to music? 1 10  
      playing/practicing sports at home? 1 10  
      doing some kind of activity for your church (place of worship)? 1 10  
      doing some kind of community service activity? 1 10  
      working at a job (includes babysitting)? 1 10  
      ging out to the movies? 1 10  
      going out to eat? 1 10  
      attending school functions? 1 10  


  1. What grade would you give your note taking skills?*
    A B C D F   N/A
     


  1. What grade would you give your listening skills?*
    A B C D F   N/A
     


  1. What grade would you give yourself if you were graded on how attentive you are in class?*
    A B C D F   N/A
     


  1. What grade would you give yourself based on how well you study?*
    A B C D F   N/A
     


  1. What grade would you give yourself based on how much you prepare/study for a class?*
    A B C D F


  1. Do you feel you know how to effectively study for your classes in order to be successful?*
    Yes
    No


  1. Do you feel you know how to take effective notes?*
    Yes
    No


  1. Do you feel you listen well in class?*
    Yes
    No


  1. Do you feel that you read well?*
    Yes
    No


  1. do you feel that a foreign langauge is very hard to learn?*
    Yes
    No


  1. Do you feel that the school is concerned about your success?*
    Yes
    No


  1. Do you feel your teachers want you to succeed?*
    Yes
    No


  1. Do you want to be successful in life?*
    Yes
    No


  1. Do you feel that you understand what skills you need to have in order to be successful in life?*
    Yes
    No


  1. Do you feel you have an understanding of what it means to be successful in life?*
    Yes
    No


  1. Explain what you feel would make you successful in life.*


  1. Explain what you feel would make you unsuccessful in life.*


  1. What makes a good student?*


  1. What is the difference between a good student and an excellent student?*


  1. Explain what makes a bad/poor student.*


  1. What type of student are you? Poor/Good/Excellent? Explain.*


  1. Do you enjoy learning?*
    Yes
    No


  1. Do you seek out new knowledge and try to learn things outside of school?*
    Yes
    No


  1. Do you wish you could get out of school and just go work somewhere?*
    Yes
    No


  1. Do you know what type of work you would like to do in the future?*
    Yes
    No


  1. Do you hae a dream for what you would like to do with your life?*
    Yes
    No


  1. Do you believe you will achieve that dream?*
    Yes
    No


  1. Are you willing to do what it takes to achieve that dream?*
    Yes
    No


  1. Do you know what it would take to achieve that dream?*
    Yes
    No


  1. Do you have support from people that could help you achieve that dream?*
    Yes
    No


  1. Are you the type that doesn't think much about the future?*
    Yes
    No


  1. What is your dream?*


  1. What obstacle do you fear that would keep you from achieving that dream?*


  1. How would you overcome those obstacles and your fear?*


  1. Which is worse, the obstacle or the fear of the obstacle?*
    fear
    obstacle
    neither


  1. Are you more*
    courageous
    fearful
    positive
    of the whatever will be will be type
    of a go getter


  1. What type of student do you feel you currently are?*
    good
    excellent
    poor
    uncaring


  1. What type of student do you want to be*
    good
    excellent
    Poor
    I don't care.
    I am not a good student and don't care to ever change.
    I am a good student and will settle with that.
    I am a good student but want to improve.
    I am an excellent student already and feel I cannot get any better.
    I am an excellent student but feel I could achieve even more if I had the opportunity.
    I am a poor student but I would like to improve.


  1. Do you doubt yourself or have low self-esteem?*
    Yes
    No


  1. Are you a fearful person--one who worries a lot about what may happen?*
    Yes
    No


  1. I am a go getter. I make opportunities for myself to shine or get what I want--whether good or bad.*
    Yes
    No


  1. There is nothing you can do about anything--life will just happen to you for good or bad.*
    Yes
    No


  1. I believe there is no fate but what we make. We make our own destiny.*
    Yes
    No


  1. I believe I need help from other sources (God, parents, friends etc. . . . ) to achieve my goals and create the opportunities I want and need.*
    Yes
    No


  1. I feel surveys like this help me focus on what my priorities should be. I need to do this self evaluation several times a year. *
    Yes
    No


  1. How has this survey helped you?*





Spanish Teacher
Franklin County High School
Frankfort, KY