Science Student History Survey
Name: 


A red asterisk (*) indicates required questions.

  1. I like learning about science.*
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. Explain your answer for #1.*


  1. What school did you go to?*
    Black Hawk
    Hall
    Reskin
    Winnebago
    Other


  1. What do you think a scientist does?*


  1. What sciences did you learn about in grade school? Check all boxes that include at least 1 subject you learned.*
    the human body
    space, planets, stars
    weather
    rocks, oceans, and/or landforms
    plants
    animals
    the environment
    sound, electricity, light, magnetism
    motion and forces
    computers and machines


  1. What sorts of experiments have you done?*


  1. Do you like working in groups? Why? (check all that apply)
    Yes, I can copy answers.
    Yes, I get help when I get stuck.
    Yes, I like to work out ideas with others.
    No, I hate to deal with others.
    No, they always copy off of me.
    No, I get into trouble with others.


  1. Do you like working alone? *
    Yes
    No


  1. Are you taking your lab top home?*


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


  1. How often do you use the internet & where do you use it?*
    never
    once a week
    2-3 times a week
    every day
    at home
    at school
    at friends' home
    at the library


  1. I'm good at math.*
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. Check the following answers that you can agree with.*
    I like sudoku or other number games.
    I like computer math games.
    Often, I can't remember how to do things I learned last year.
    I get frustrated often.
    I know my times tables well.
    I'm ok with word problems.
    I'm ok with shapes.
    I'm ok at reading tables, charts, and graphs.
    I know the metric system: meters, grams, liters.
    I only do math in school.


  1. I like to read*
    Yes
    No


  1. What sorts of books do you like to read?*
    fantasy, science fiction
    horor, suspense, mystery
    funny, humor
    movie novels
    sports
    history or non-fiction/facts books
    graphic novels
    easy books
    Books that challenge my vocabulary.
    books with lots of pictures


  1. I like to draw.*
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. I learn well... (check all that apply)*
    reading
    watching (videos, demonstrations, etc.)
    doing activities
    writing
    drawing
    talking stuff through with classmates
    studying for quizzes
    doing projects: posters, presentations, etc.
    doing worksheets


  1. If I don't know something, I'm ok asking in class, asking help from a partner in class, or I will ask the teacher for help later.*
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. I can speak a language other than English.*
    Yes
    No


  1. Does your family speak any other languages at home?*


  1. What is learning?*


  1. How do you know when you have really learned something?*





Mrs. Drager
IL