All About Me
Name: 


A red asterisk (*) indicates required questions.

  1. I like to listen to people*
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. I can't stand it when teachers*


  1. In the classroom, I wish I could sit*


  1. I like to talk to people*
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. I enjoy being challenged*
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. I handle my anger well*
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. What do you want to do when you "grow up"?*


  1. I procrastinate*
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. I see myself as a leader*
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. Do you have an IEP, 504 or any academic concerns?*


  1. Describe your strengths academically and in life?*


  1. I have a good, positive, cheerful attitude*
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. This year, I am most excited about*


  1. I learn well on my own/am self taught*
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. To me success means*


  1. In class, I am most known as the person who*


  1. When I'm typing an essay, I like to listen to music*
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. I enjoy speaking in public*
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. Do you have any medical issues I need to be concerned about?*


  1. I will ask for help if I need it*
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. I have high standards for myself*
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. I doodle when I listen to a lecture*
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. I see myself as a leader*
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. I have high standards for others*
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. Describe your post-high school plans. Four-year college? Junior College? Vocational (Tech) School? Military? Work?*


  1. I speak my mind*
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. I like my work to be perfect*
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. Describe your after-school, or extra curricular, activities? Work? Sports? Clubs?*


  1. is the most important thing you have learned in high school so far, academically and socially?*


  1. I like to earn A's*
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. I set goals on a regular basis*
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. I study for tests*
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. I am competitive*
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. I am a good communicator*
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. I enjoy school work*
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. This is me in five words:*


  1. I am organized*
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. In class, I wish the teacher would let me choose*


  1. I am detail-oriented*
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. I like when teachers*


  1. I write poetry*
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. I appreciate and value diversity/difference*
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. I enjoy working with others*
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. My favorite teacher so far is _____ because.*


  1. Describe your weaknesses academically and in life?*


  1. Any Additional Comments


  1. I prefer writing by hand over the computer*
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. What are some of your challenges in school? In life?*


  1. I enjoy asking questions and finding answers*
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. When I'm typing an essay, I like the room quiet*
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. I am responsible*
      1 2 3 4 5  
    Strongly agree   Strongly disagree





Lisa Patterson