Beginning of the Year Survey
Name: 


  1. Write 2 or 3 words that describe you.


  1. Which of the following subjects do you like the most? 


  1. What is your favorite food?


  1. What is your favorite color?


  1. If you could visit any place in the world, where would you go?


  1. Who is your favorite entertainer?


  1. What is your favorite TV show?


  1. What is your favorite treat?


  1. Is there a computer at your house?
    Yes
    No


  1. Do you go on the Internet at home?
    Yes
    No


  1. How often do you play video games? 


  1. Choose 2-3 activities that you enjoy doing during your free time.
    drawing or painting
    puzzles
    reading
    writing stories
    singing
    dancing
    sports
    games
    photograghy
    watching videos/movies


  1. What is one goal that you hope to accomplish in the 4th grade?





Mrs. Belan
5th Grade Teacher
Centerville Elementary School