Participation in Government Survey Sept 20

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First Name

Last Name

Which Block Period are you in

Block 2

Block 3

Block 4/5

Block 6/7

Block 9

Clear selection

Have you ever done a research paper before

yes

unsure

Clear selection

Have you ever created a works cited page or a bibliography before

Yes

Unsure

Clear selection

If you do a research paper before , what class was it in? And when did you do it? what was the topic

Do you have a cellphone/smart phone

yes

Clear selection

Which of the following social media do you use check all that apply

Snapchat

Twitter

Faceback

Other:

Are you able to go a whole class period without looking at your phone?

Never

Sometimes

Most of the time

Always

Clear selection

Clear form

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