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2015-2016 Student Interest Survey
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* Indicates required question
What is your name?
Your answer
What do you like to do for fun?
Your answer
What is your favorite book or genre?
Your answer
What is your least favorite subject? Why?
Your answer
One thing I am really good at is...
Your answer
What is your favorite subject? Why?
Your answer
Something I want to work on this year is...
Your answer
I do my best thinking when...
Your answer
One thing I liked about my classroom last year was...
Your answer
What kind of a job do you want when you are older?
Your answer
Something you should know about me...
Your answer
I like to work:
*
Check all that apply.
alone
with a partner
with a small group
whole class
Required
I work well when I:
*
Check all that apply.
read about things
use hands-on materials
talk to other people and get their ideas
use the computer or a device
listen and watch
Other:
Required
When I'm learning I need:
*
Check all that apply.
quiet
music or quiet noise
to be able to move around
to be able to talk with others
Other:
Required
When I need help:
*
I will ask the teacher or a classmate for help
I don't like to ask for help
I'm afraid people will laugh or judge me when I ask for help
Other:
Required
Things that make learning hard for me:
*
Check all that apply.
music
people moving around me
noise
quiet
bright light
not enough light
Other:
Required
I know my _______ math facts.
*
Check all that apply.
addition
subtraction
multiplication
division
none of the above
Required
When you do a project, would you rather:
*
Check all that apply.
make up a song/rap
write a report
act out a skit
create a game
make a presentation on the computer
make a poster
Other:
Required
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