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Student Info Form
Tell me about yourself!
* Indicates required question
Email
*
Your email
Class
*
Spanish 2 - 1st hour
Spanish 1 - 2nd hour
Spanish 3 & 4 - 3rd hour
Spanish 1 - 4th hour
Spanish 1 - 5th hour
Spanish 2 - 6th hour
Spanish 2 - 7th hour
Full Name
*
Your answer
What do you want to be called in class?
nickname
Your answer
Do you work? If so where?
*
Your answer
What school clubs/activities/sports are you involved in?
*
Your answer
What are your hobbies outside of school?
*
Your answer
What do you want to learn/do this year in Spanish class?
*
3 things
Your answer
What previous knowledge of Spanish do you have?
class, travel, other...
Your answer
What is your favorite type of music?
*
Alternative
Classical
Country
Pop
Rap/Hip Hop
Rock
Show tunes/Musicals
Everything from Spanish class!
Required
Why are you taking Spanish class?
*
Mark all that apply
For fun
To learn about Spanish culture
To speak in Spanish
To write in Spanish
I want to listen/dance to Spanish music
Travel
College entrance requirements
Future Job
My parents/caregivers are making me take this class
Other:
Required
Please rank your ability to understand what you READ in Spanish
*
not confident in this skill at all
1
2
3
4
5
very confident in this skill
Please rank your ability to understand what you HEAR in Spanish
*
not confident in this skill at all
1
2
3
4
5
very confident in this skill
Please rank your ability to WRITE in Spanish
*
not confident in this skill at all
1
2
3
4
5
very confident in this skill
Please rank your ability to SPEAK in Spanish
*
not confident in this skill at all
1
2
3
4
5
very confident in this skill
Do you plan to take the next level of Spanish?
*
Ex. If you are in Spanish 1, are you going to take Spanish 2?
Yes
No
Maybe
Mark the numbers you chose for the motivation survey that describe you:
1. I think that getting good grades is very important.
2. I often worry about what others will think of my work.
3. Learning new things is exciting to me.
4. I love reaching my goals and growing as a learner.
5. Getting positive feedback from my teacher makes me proud.
6. I think that I can always grow as a learner with practice and hard work.
7. I can’t wait to have a job and earn money for working.
8. I enjoy having time to work on my hobbies.
9. I work harder if I know I will get a reward for doing well.
10. I feel proud when I know I have done my best work regardless of the grade.
Are you more intrinsically or extrinsically motivated?
extrinsically
intrinsically
both equally
Other:
Clear selection
What was your grit score?
Your answer
What was your mindset score? (Number correct)
10 correct
9 correct
8 correct
7 correct
6 correct
5 correct
4 correct
3 correct
2 correct
1 correct
0
Clear selection
What concerns you most about this class?
*
What are you worried about & how can I help?
Your answer
What did you think about the motivation, grit, growth mindset and proficiency activities in the previous sections? Did you learn something new?
Your answer
What are your goals for Spanish class this year?
Your answer
Do you have any other thoughts, comments, or suggestions for me?
Your answer
Send me a copy of my responses.
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