Student Activities Survey

Tell Mrs. Main how you spend your time when you're not in class.

Name


  1. Are you a student in Mrs. Main's class this year?
    Yes
    No


  1. What is your name?


  1. Which of the following activities do you participate in outside of my class? (pick as many as you need to)
    Sports (soccer, baseball, football, tennis, others)
    Chinese School
    another language class or school
    musical instrument lessons
    Voice (singing) classes or lessons
    Drama/Acting classes, lessons, or productions
    Dance classes or lessons
    Art classes or lessons
    Scouts
    Martial Arts training
    tutoring, homework club, Sylvan, Kumon, or other learning situation
    Other (see next question)


  1. If you answered "Other" to the activities question, please type in your other activit(y/ies) (50 characters maximum):


  1. If you selected Sports, Martial Arts training, Dance, languages, or something similar above, please use the blank below to tell which ones you do. (i.e. if you do Soccer, you selected Sports and you type Soccer below; if you do Tae Kwon Do for Martial Arts, Tap for Dance, etc.)





Computer Technology Teacher
Milpitas Christian Schools, Inc.
San Jose, CA