Please fill out this survey. Answer every question so I can get to know you!
Fill in the blanks below. Be honest. Be as specific as possible (use great details!).
And don't worry: None of this counts toward any grade. (And you won't get in trouble for anything you put down.)
What is your name?
If parents and teachers call you by a name that's different from your given name, tell me that!
How many people are in your family?
put a number (1-20)
How old are you right now?
9 years old
10 years old
11 years old
12 years old
When is your birthday?
How many brothers and sisters do you have, and where do you fit in the order?
Example: I am the third of five children. I have two older brothers and two younger sisters.
How many pets do you have and what are their names?
Example: 2 dogs, 1 girl Kurmit, 1 boy Snoop
What is your favorite color and why?
What is your favorite food and why?
What is your favorite movie and why?
What is your favorite book and why?
What is your favorite T.V. show and why?
If you could be any animal what would you be and why?
What is your favorite sport and why?
What is your favorite subject in school and why?
What is your least favorite subject in school and why?
What does the word "challenging" mean to you?
Explain in detail with an example.
What technology items do you use often?
Check all that apply.
i pod or other MP3 player
Do you collect anything? If so, what? Why do you like to collect that, and why is it important to you?
Who is your HERO and why?
Describe what your favorite thing to do is when you're not at school.
Give at least three great reasons/descriptions of why it's your favorite thing to do! (Minimum 4 sentences.)
Would you describle yourself as a student who...
Remember to be honest!
Doesn't care much about school.
Tries my best but always seems to fall short .
Is pretty average.
Does what needs to be done and gets good grades.
LOVES to learn and goes above and beyond with my assignments and participation because it comes so easily.
Name something that truly scares you. Why does it scare you?
What are the three things you love about yourself? Why do you love those things?
Who was your favorite teacher before 5th grade and what did they do to be your favorite teacher?
Explain in detail.
What are you looking forward to the most about 5th grade and why?
Is there anything positive you have heard about Mrs. Bachman as a teacher or as a person?
As your teacher, what can I do to help you the most to encourage and support you as an individual?
Be specific with details and examples.
Is there anything else you would like to tell me about yourself?
Do you have any questions for me, or is there anything you would like to know about me?
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