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NGHS Mr. Gondek's Student Survey
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Name
(optional):
I prefer to be called...
My Birthday is...
Main language spoken at home...
Parents and Guardians names and their relationship:
Home Phone:
Do you have internet at home?
Yes
No
CPS email address:
Last math teacher and grade:
Last science teacher and grade:
Do you have ELL/ ESL services?
Do you wear contacts?
Yes
No
Are you allergic to anything? If yes, what?
What do you like to do after school?
Listen to music
play music
Play videogames
Play sports
Watch TV
Play card or board games
Draw
Sing
Act
Collect things
Hang out with friends
Spend time alone
Work (chores, baby sit)
Work- part-time job
Take pictures
What is your favorite type of music?
What is your favorite rapper, band, group or artist?
What is your favorite sports team?
What jobs/ careers are interesting to you?
Mr. Gondek
Mr. Jason Gondek
North-Grand High SChool
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