2015-2016 Student Information Survey

Name


  1. What class period do you have Mrs. Hill's class?
    1st period
    2nd period
    3rd period
    4th period
    5th period
    6th period
    7th period


  1. What is the name you want me to call you?


  1. Grade:
    9
    10
    11
    12


  1. How many siblings do you have?


  1. Brothers (ages):
    Sisters (ages):


  1. What kind of pets do you have?


  1. What are the three most important things I should know about you?


  1. What are things you are really good at?


  1. What is the favorite thing you did this summer?


  1. What have you most loved learning (even if not in school)? Why?


  1. What’s your favorite thing to do when you’re not in school?


  1. What do you love about school?


  1. What do you not like about school?


  1. I work best in a classroom that is....


  1. Some things I really want to work on this year are...


  1. What do you wish teachers would notice about you?


  1. Please complete this sentence: The best teachers for me are teachers that...


  1. Do you have access to a computer with internet at home?


  1. Are you currently employed? If so, where? Where have you worked before?


  1. What are your career plans for the future?


  1. Do you have any health problems that I need to be aware of?


  1. Which parent or guardian would you like me to contact if I need to call home?



  1. Please tell me what you expect from this class.


  1. Please tell me anything else you wish for me to know about you.