STEM9 - Beginning of the Semester Questionnaire
Please be honest when answering all questions. No answers will be shared with other students nor adults. Only complete this form if you have Mr. Dubuque for STEM9.
What is your first name? *
Your answer
What is your last name? *
Your answer
What name do you prefer to be addressed as? *
Example: Your name is Samuel, but you prefer to me called Sam.
Your answer
What is your student ID number? *
Your answer
Which period do you have STEM9 with Mr. Dubuque? *
What is your homeroom on B through F days? *
Your answer
What math are you enrolled in this current school year? *
Be honest, how would you describe science? *
4 - My most favorite class, 1 - My least favorite class
Be honest, how would you describe math? *
4 - My most favorite class, 1 - My least favorite class
How would you describe your abilities with computer technology? *
4 - I am very skilled in using computers, 1 - I have poor skills in using computers
How would you describe your ability to build, construct, and repair? *
4 - I am very skilled with mechanics and hands on activities, 1 - I have poor skills with mechanics and hands on activities
How would you describe your creativity? *
4 - I am very creative, 1 - I am not creative at all
Of the following strengths, check ALL that apply to you. *
Required
Of the following strengths, check the ONE that is your greatest strength. *
Of the following strengths, check the ONE that is your greatest weakness. *
When you are assigned to teams/partners, which students in your class would you most like to be teamed with the most?
These answers are confidential. This answer does NOT ensure that you will be placed on that person's team. Please limit the answer to 2-3 students. If you cannot answer this question, leave it blank.
Your answer
Because of a "history", are there individuals in your class that you know you will not work well with?
These answers are confidential. If this answer applies to no student, leave it blank. Albeit best attempts will be made to keep you from other students you do not work well with, this response does NOT guarantee that you will NOT be placed on that person's team.
Your answer
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