Madness and Literature- Student Survey- Spring 2017
Hi All,

This survey will help me learn more about you. Feel free to skip any question that you find too personal.

Thanks,
Mr. Wise

What is your first name?
Your answer
What is your last name?
Your answer
How do I pronounce your name? Please spell it out phonetically.
Ex. Misster Wyze
Your answer
What do you like to be called?
If it's your first name, you can leave this blank. No jokes, please.
Your answer
What is your grade?
How long have you been a member of the Prospect Hill Community?
ex. Since I was in third grade
Your answer
When is your birthday?
Format: 04/21/1993
Your answer
Where were you born?
Ex. Albany, New York
Your answer
Where do you live?
Ex. Malden
Your answer
How do you usually get to school?
Ex. I take Red Line from Davis to Central
Your answer
What is your PHA email address?
Your answer
How often do you check your PHA email?
Your answer
Is there another email address that you check more often?
If yes, please write it here.
Your answer
If I need to reach an adult at your house, what number should I call?
Your answer
What is the above number?
Ex. My mom's cell phone
Your answer
If you know an email address for your parent/guardian and don't mind sharing, please write it here
Your answer
With whom do you live?
Ex. My mom, my two brothers, and my grandma
Your answer
Do you have any pets? If so, how many do they have, what are they, and what are their names?
Ex. I have one cat named Mittens
Your answer
Do you speak any languages other than English? If yes, what are they, and what is your comfort level?
Your answer
What language or languages do you speak at home?
Your answer
Who do you want me to tell if you do something really well?
Your answer
What is the above person's phone number?
Your answer
Which college would you most like to attend and why?
If you don't plan to attend college, explain why.
Your answer
What do you see yourself doing in ten years?
Your answer
Who is your advisor?
Your answer
How strong is your relationship with your advisor?
This question is optional
We are very close
We don't have much of a relationship
Other than your advisor, name one adult at Prospect Hill Academy with whom you have a good relationship.
The person does not need to be a teacher
Your answer
What middle school did you attend?
Your answer
What was your favorite class last semester? Describe why you enjoyed the class.
Go into as much detail as you can
Your answer
Why did you choose this course (Madness in Literature)?
Be honest and go into detail
Your answer
What do you think this course will be about? What do you think we will learn, read, and do over the course of this semester?
Your answer
This course has an honors option. This involves an extra book and an extra assignment for each of our three units. How interested are you in the honors option?
Your answer does not commit you to anything. I just want a sense of who might be interested. I will provide more details later.
Not interested at all
I definitely want to do it
What other courses are you taking this semester?
Your answer
What other course (for this semester) are you most looking forward to taking? Explain why.
Your answer
What work did you do last semester that you were most proud of?
Tell me about the assignment, what you did, and why you were proud of it
Your answer
What do you enjoy about English classes?
Your answer
What are your strengths in English classes?
ex. Creative writing, organizing essays, presentations
Your answer
What do you dislike about English classes?
Your answer
What are your growth areas in English classes?
In what areas do you need to improve?
Your answer
Describe your work habits (in general) last semester. What did you do well? What do you still need to improve?
Your answer
How much do you like reading?
Don't get me started...
Love it!
How difficult is reading for you?
Extremely difficult
Not difficult at all
Please let me know how often you use the following reading strategies
Never
Rarely
I haven't really done this
Often
All of the time
Highlighting
Underlining
Annotating (writing in the margins)
Taking notes on a separate sheet of paper
Writing on post-its and putting them in a book
Please let me know how useful you find the following strategies
Useless
Meh
No opinion
Pretty useful
Very useful
Highlighting
Underlining
Annotating (writing in the margins)
Taking notes on a separate sheet of paper
Writing on post-its and putting them in a book
What is your favorite book?
Ex. Brave New World by Aldous Huxley
Your answer
What are the last three books that you have read?
If you can't remember exactly, make educated guesses
Your answer
Do you read any magazines on a regular basis? If so, what are they?
Ex. Wired, Cosmopolitan, US Weekly, Puppy Afficionado
Your answer
What are your favorite websites?
Optional
Your answer
Do you own or have access to an E-Reader? Check all that apply
Do you have access to any of the following movie streaming services?
How much do you like writing?
Don't get me started...
Love it!
How difficult is writing for you?
Extremely difficult
Not difficult at all
What is the best thing that you've ever written?
Ex. A poem I wrote in eighth grade about my cat, Mittens
Your answer
How much do you like History?
Don't get me started...
Love it!
What is your favorite place and time period to study (for History)?
Ex. England in the 1600's
Your answer
Write FIVE things that you like to do outside of school.
Your answer
Do you play any instruments? If yes, what are they?
Your answer
Who are your favorite musical artists/bands?
Your answer
What is your favorite song that is currently on the radio?
Your answer
What are your favorite TV shows?
Your answer
What is your favorite movie?
Your answer
If you could meet anyone in the world- dead or alive- who would it be?
Your answer
If you could travel anywhere in the world, where would you go?
Your answer
How comfortable are you with the following?
Very uncomfortable / I don't like doing this
Somewhat uncomfortable
I haven't really done it but am willing to give it a try
Pretty comfortable
Very comfortable / I love doing this
Drawing
Graphic design
Acting
Performing Poetry
Making and editing movies
Writing songs
Playing instruments
Singing
Rapping
Dancing
Do you have any questions for Mr. Wise? If so, what are they?
Your answer
Do you have any suggestions or requests for Mr. Wise?
Your answer
Is there anything else that Mr. Wise should know about you?
This could be personal information or ways that he can help you be successful
Your answer
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