Student Survey
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? *
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.
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!
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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This form was created inside of Jefferson County Public Schools.