Student Survey
First Name *
Your answer
Last Name *
Your answer
What is your e-mail address?
Your answer
Cell phone (no dashes or spaces)
For use of sending text messages to students
Your answer
Cell phone carrier
What type of cell phone do you use? *
Which class? *
Who is your teacher? *
Which Hour *
Gender
Amount of sleep you got last night (in hours)
Your answer
Number of siblings (count half-siblings as full siblings)
Your answer
Hair color
Your answer
Height (in inches)
Your answer
Number of AP classes you are taking this year
Your answer
Birthdate (mm/dd/yyyy)
Your answer
Favorite fast-food restaurant
Your answer
Left- or right-handed
Ounces of soda consumed yesterday
Your answer
Take your pulse. What is your pulse rate (beats per minute)?
Your answer
Days since you last consumed food from a fast-food restaurant
Your answer
Do you believe that fast-food restaurants should be held responsible for obesity resulting from eating too much fast-food?
What is your favorite food?
Your answer
Time spent on a computer or tablet yesterday (in minutes)
Your answer
Time spent on the Internet yesterday (in minutes)
Your answer
Thinking back to the most recent time you went to the bathroom, did you wash your hands immediately after using the bathroom?
Which of the following best describes what percent of the time you wash your hands immediately after using the bathroom?
Choose one of the following numbers.
Randomly choose of the letters
Imagine a sequence of 10 tosses of a fair penny. Write down a sequence of outcomes that you believe is likely to occur. Use H for heads and T for tails.
For example, HHHHHHHHHH represents filling 10 head in a row.
Your answer
What kind of things are you interested in?
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms