JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Brad Czech - Elementary Student Culture Survey - Template
Please read the statements carefully and then choose the best answer.
Sign in to Google
to save your progress.
Learn more
* Required
1. My teacher and the other students listen to me and make me feel like I am a good learner.
*
Always
Usually
Sometimes
Rarely
2. My teacher stands in front of the room and talks to us.
*
Always
Usually
Sometimes
Rarely
3. My classmates and I do the same work at the same time.
*
Always
Usually
Sometimes
Rarely
4. I get to decide how I want to do an assignment – by drawing, writing, building, or another way.
*
Always
Usually
Sometimes
Rarely
5. Before we start a new assignment, I talk to the teacher about what I want to learn, how I’m going to learn it, and when I’ll show her that I’ve learned it.
*
Always
Usually
Sometimes
Rarely
6. I work with other students and ask them questions when my teacher is busy.
*
Always
Usually
Sometimes
Rarely
7. I love to learn new things in this class.
*
Always
Usually
Sometimes
Rarely
8. My teacher and other students tell me when I’ve done a good job or when I need to do something differently.
*
Always
Usually
Sometimes
Rarely
9. After my teacher or other students talk to me about my work, I have time to make changes.
*
Always
Usually
Sometimes
Rarely
10. My teacher tells me what work I need to do and when I need to do it.
*
Always
Usually
Sometimes
Rarely
11. My teacher asks me how I feel and everyone listens when I talk about my feelings.
*
Always
Usually
Sometimes
Rarely
12. I know I can ask questions when I don’t understand something.
*
Always
Usually
Sometimes
Rarely
13. I know why it is important to learn new things and how these new things will help me.
*
Always
Usually
Sometimes
Rarely
14. I feel that it is important for me to finish my work and do a good job.
*
Always
Usually
Sometimes
Rarely
Name
Classroom
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of lfalls.k12.mn.us.
Report Abuse
Forms