2015 Student Information Survey
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Last Name *
First Name *
What is your birthday (mm/dd)? *
MM
/
DD
Course Period *
Do you have reliable internet access at home (or after school)? *
Do you have a mobile device with internet? *
Do you have a mobile device for class (school tablet, phone, etc.)? *
If you have a mobile device, does your service plan include unlimited texting? *
On a scale of 1-5, how computer/tech savvy are you?   *
Not at all
Great with technology
What's your favorite food to eat? (can be food or dessert) *
What are you passionate about? (What do you do when no one is telling you what to do?) *
List one concept/thing/activity that you have liked about one of your previous English classes? *
What's one fun thing you have done this summer? *
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