Goal Survey - Academic Support
Name: 


A red asterisk (*) indicates required questions.

  1. The goal I set for 2nd quarter is:*


  1. I will achieve this goal by:*


  1. How can the classroom teachers help you achieve your goal?*


  1. How can Mrs. Dieffenbach help you achieve your goal?*


  1. I come to Academic Support prepared to work.*
    Yes
    No


  1. I have been bringing my planner every day to Academic Support.*
    Yes
    No


  1. I am using my planner every day in every class.*
    Yes
    No


  1. I check Power School every day - either at home or at school.*
    Yes
    No


  1. I believe that I can reach my goal.*
    Yes
    No


  1. The class marked below is EASIEST for me.*
    math
    LA
    science
    social studies


  1. The class marked below is the HARDEST for me.*
    math
    LA
    science
    social studies





Anne Rothenhaler
8th Grade English Language Arts Teacher
Central Middle School
Ada, MI