Course Questionnaire - (Block 3 Part 1 Spring 11)

Please fill out the following questionnaire so I can get to know you better. Please be honest and keep in mind that I will not share any sensitive information with the class.
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Name: 


A red asterisk (*) indicates required questions.

  1. Why are you taking this course? (you can select more than one answer).*
    Required
    Personal Interest
    I couldn't get into French.


  1. What year are you?
    Senior
    Junior
    Sophomore
    Freshman


  1. In terms of Academics, I consider myself
    Way above averarge (A+)
    Above average (A to B+)
    Average (B to C+)
    Below average (C to D)
    Way below average (D to F)


  1. Do you receive or plan to apply for "free lunch?"
    Yes
    No


  1. Have you taken Spanish before? *
    Yes
    No


  1. If yes, how long ago did you take it?
    Last semester
    2 semesters ago
    3 or more semesters ago


  1. What grade did you make the last time you took Spanish (if you took it)?
    A
    B
    C
    D
    F


  1. If you took Spanish before, how much of the course was taught in Spanish (not in English)?
    0%-20% in Spanish
    20%-40% in Spanish
    40%-60% in Spanish
    60%-80% in Spanish
    80%-100% in Spanish


  1. Have you taken any other languages besides Spanish?*
    Yes
    No


  1. Do you speak any other languages besides English?*
    Yes (fluently)
    Yes (a little)
    No (not at all)


  1. Have you ever traveled outside the United States?
    Yes
    No


  1. If so, where have you traveled?


  1. I enjoy high school...
    Most of the time
    Some of the time
    Rarely


  1. Learning styles are simply different approaches or ways of learning. I think I am a
    Visual Learner: learn through seeing...
    Auditory Learner: learn through listening...
    Tactile/Kinesthetic Learner: learn through , moving, doing and touching


  1. Multiple Intelligences are eight different ways to demonstrate intellectual ability and everyone has varying degrees of intelligences. How do you think you are "intelligent"? (you can choose multiple answers)
    Linguistic intelligence ("word smart"):
    Logical-mathematical intelligence ("number/reasoning smart")
    Spatial intelligence ("picture smart")
    Bodily-Kinesthetic intelligence ("body smart")
    Musical intelligence ("music smart")
    Interpersonal intelligence ("people smart")
    Intrapersonal intelligence ("self smart")
    Naturalist intelligence ("nature smart")


  1. The type of music I listen to (you can choose multiple answers)
    Rap & Hip Hop
    Rock
    Country
    Classical
    Jazz
    Electronic
    Heavy Metal
    Alternative
    Disco
    Pop
    Rhythm and Blues
    Classic Rock
    Oldies
    Other


  1. How do you normally get to school? (you can choose more than one)
    Take the bus
    Drive my own car
    Drive with someone else
    Walk
    Ride a bike


  1. If I had $50, I would buy...


  1. I get in trouble at school...
    A lot (more than 6 times a semester)
    Frequently (3-5 times a semester)
    Rarely (1-2 times a semester)
    Never


  1. What do you like in a teacher?


  1. How would you describe yourself? Is there anything else I should know about you?


  1. I live with...
    My mom and dad
    My mom
    My dad
    My guardian
    Other


  1. What is your parent's/guardians' name(s)?


  1. What is your parent's/guardians' phone number(s)? Work and Home


  1. What is your parent's/guardians' email (if they have one)?


  1. Tell me about your personal interests (hobbies, what you like to do with your free time).


  1. I participate in extracurricular school activities.
    Yes
    No


  1. If yes, I participate in
    Football
    Basketball
    Soccer
    Baseball
    Softball
    Band
    Chorus
    Drama
    Volleyball
    Wrestling
    Yearbook
    Strings
    Track
    Clubs
    Other


  1. Are there any special needs that you have in my course?





Señor Johnson
Spanish Teacher
Nation Ford High School
SC