Please answer the following questions so that I can learn more about your life outside of this class. Your responses will help me create a classroom space where you can thrive as a learner this year.
How do you get to/from school? (check all that apply)
someone I know drives me
I drive myself
public transportation (bus, train, etc.)
walk, bike, skateboard, scooter, etc.
How long does it take you to get to and from school every day? (check all that apply)
less than 15 min each way
15-30 min each way
30 min - 1 hour each way
more than 1 hr each way
it's unpredictable (traffic, delays with public transport, my ride is late, etc.)
What responsibilities do you have after school and on weekends? (check all that apply)
caring for others (babysitting, helping a grandparent or neighbor, etc.)
volunteer work / community service
extra curricular activities (sports, clubs, instrument, etc.)
appointments (doctor visits, therapy, counseling, tutoring, etc.)
How much time per week do you spend on these other responsibilities? (just an estimate)
fewer than 5 hours per week
5-10 hours per week
10-20 hours per week
more than 20 hours per week
When you are not in school, do you have access to the following? (check all that apply)
internet (to visit school websites, stream video, download and upload assignments)
clean, cleared off desk/table and chair
books of interest at your reading level
magazines, journals, newspapers
a trusted and available adult
art supplies (scissors, glue, tape, different types of paper, markers, pencils, etc.)
How often do you have access to the items you selected above?
1-2 days per week
3-5 days per week
a few days every couple of weeks
it's unpredictable (always changing, not reliable, I have to share with others)
Do you have the ability to easily get to local museums, libraries, theaters, etc.? (less than 30 min travel time each way)
During last school year, if you were to do all the homework you were assigned every day, how long would it take you each day?
less than one hour a day
1-2 hours a day
2-3 hours a day
more than 4 hours a day
Did you find it challenging to complete assigned homework and prepare for assessments?
What, if anything, makes completing homework/studying outside of school challenging for you?
Describe a homework assignment, project, or assessment you studied for outside of school that you learned a lot from.
What do you want your teacher to know about you?
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