Salt Lake County Student Survey
Sign in to Google to save your progress. Learn more
Please choose the Afterschool program location you attend: *
What is your 9 number?   *
What grade are you in? *
I work hard to be a good student. *
I turn in school work on time. *
I think it is important to graduate high school. *
What do you plan to do after high school? *
I am interested in learning STEM (Science, Technology, Engineering or Math) skills. *
I am interested in learning Art skills. *
I am interested in learning Healthy Living skills (including any: healthy eating, cooking, self-care and physical  activity such as sports or dance). *
I am interested in learning college and career readiness skills such as learning different options for colleges and careers for your future. *
I am interested in learning character education skills including any of the following: having better relationships, self-control, suicide prevention, drug prevention, violence prevention or community service. *
I follow the rules when no one is watching. *
I follow the directions of my teacher and other adults. *
I get along with family members at home. *
I get along well with other people at school. *
I have as many close friends as I’d like to have. *
Exercise is important to me. *
Eating healthy is important to me. *
Why do you attend an afterschool program? *
Required
What afterschool program classes would you be interested in taking? (Check all that apply) *
Required
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy