First Day of School Survey
Name: 


A red asterisk (*) indicates required questions.

  1. What is your name? Would you like me to call you something else? *


  1. List as many phone numbers for you and your family as possible. *


  1. Describe who you live with. *


  1. Do you have a computer at home? *
    Yes
    No


  1. Do you have internet access at home? *
    Yes
    No


  1. Do you have internet access somewhere else on a daily basis? *
    Yes
    No


  1. Do you have a calculator? *
    Yes
    No


  1. What were a couple of things you liked about previous math teachers?


  1. What were a couple of things you did NOT like about previous math teachers?


  1. What can I do to help you get your assignments done?





Mrs. Adams
Southeast High School
Bradenton, FL