Self Survey
Name: 


  1. How do you learn best? (Choose all that apply)
    visually (with pictures)
    kinesthetically (hands on; doing things)
    auditorially (by listening)


  1. What are your academic strengths? (choose all that apply)
    math
    science
    history
    reading
    writing


  1. What are your academic weaknesses?
    math
    science
    history
    reading
    writing


  1. I enjoy listening to music.
    Yes
    No


  1. I like to use a calculator.
    Yes
    No


  1. I like to use the computer.
    Yes
    No


  1. I like to draw.
    Yes
    No


  1. I like to make things.
    Yes
    No


  1. I like to look at pictures.
    Yes
    No


  1. I like to take pictures.
    Yes
    No


  1. I like doing hands on activities.
    Yes
    No


  1. I like fixing things.
    Yes
    No


  1. I like adding numbers.
    Yes
    No


  1. I like to read.
    Yes
    No


  1. I like to write letters.
    Yes
    No


  1. I like to send email.
    Yes
    No


  1. I like to receive email.
    Yes
    No


  1. I like to write stories.
    Yes
    No


  1. I like to watch movies.
    Yes
    No


  1. I like to work in groups.
    Yes
    No


  1. I prefer to work alone.
    Yes
    No


  1. I like doing things outdoors.
    Yes
    No


  1. I prefer to be indoors.
    Yes
    No


  1. I like cutting out things.
    Yes
    No


  1. I like playing sports.
    Yes
    No


  1. I like doing physical activities.
    Yes
    No


  1. I like being in a crowd.
    Yes
    No


  1. I prefer quiet places.
    Yes
    No


  1. I like amusement parks.
    Yes
    No


  1. I like working with a partner.
    Yes
    No


  1. I like to be a leader.
    Yes
    No


  1. I prefer not to be a leader.
    Yes
    No


  1. It is hard to sit still for long periods of time.
    Yes
    No


  1. I like sitting for long periods of time.
    Yes
    No


  1. Rank the following from favorite to least favorite.
        1 2 3 4 5 6
    reading a novel  
    writing a letter  
    adding numbers  
    drawing a picture  
    taking a picture with a camera  
    playing a computer game  


  1. Rank the following from favorite to least favorite.
        1 2 3 4 5 6
    Creating a PowerPoint project  
    Making a collage  
    Taking and printing digital camera pictures  
    Writing a song  
    Writing a story or a poem  
    Making a timeline  


  1. Think about activities or projects you have completed at school in the past. List your favorites.


  1. Think of a favorite teacher. Tell why he or she is/was a favorite teacher.


  1. What do you like the most about school?


  1. What do you dislike about school?


  1. What do you like doing in your free time?





Mrs. Meadows
Resource Instructor
Louisa County High School