Room 204 Student Survey
Name: 


  1. What is your address?


  1. What is your birthdate?


  1. What is your parent name?


  1. What is your parent telephone number?


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


  1. What things are you really good at?


  1. What are you most proud of?


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


  1. What do you most love to learn (even if not in school)? Why?


  1. What's your favorite thing to do when you are not in school?


  1. What is the best book you ever read?


  1. What do you do to learn HOW to do something?


  1. I thnk 6th grade will be...


  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. What are things you cannot wait to do this year


  1. I learn berst when the teacher is...


  1. What do you know about Ms. Cunliffe?


  1. Have you ever witness a crime?


  1. What is the worst experience you ever had?


  1. Do you have a computer at home?
    Yes
    No


  1. Do you have the internet at home?
    Yes
    No


  1. Did you have siblings?
    Yes
    No


  1. What is the name of you siblings here at Fairfield?





Ms.Cunliffe
Science Teacher
Beasley Academic Center
Chicago, IL