Student Information
Last name, First name
Your answer
Block
Parent 1 Name (First and Last)
Your answer
Parent 1 Cell Phone Number
Your answer
Parent 2 Name (First and Last)
Your answer
Parent 2 Cell Phone Number
Your answer
Primary Parent Email address
Your answer
Student School Email
Your answer
Do you have your own graphing calculator?
Do you have a phone that an access the internet?
Do you have access to the internet at home?
Do you have a job outside of school?
If you answered "Yes" to having a job, where do you work?
Your answer
Are you involved in any activities at school such as clubs or sports?
If yes to the previous question, what organizations/clubs are you in?
Your answer
Who was your last math teacher?
How would you rank your mathmatical ability?
Struggles
Strong
If you are ever struggling with a topic in math what is your typical response? (Check all that apply)
Required
What is one thing that you are scared/worried about this semester for math?
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of Wake County Public School System. Report Abuse - Terms of Service - Additional Terms