STARBASE Connecticut Graduate Survey
Please take a few moments to fill out this form and let us know how STARBASE impacted you.
Name: *
Your answer
Call Sign (If you remember.)
Your answer
School where you attended 5th Grade *
Your answer
5th Grade Teacher *
Your answer
Phone Number *
Your answer
Email Address
Your answer
What do you remember from STARBASE? *
Your answer
On a scale of 1 to 5, tell us how you feel about the follow statement: *
I like math.
Not at All
A Lot
On a scale of 1 to 5, tell us how you feel about the follow statement: *
I like science.
Not at All
A Lot
On a scale of 1 to 5, tell us how you feel about the follow statement: *
I might consider a job in science or math.
Not at All
A Lot
On a scale of 1 to 5, tell us how you feel about the follow statement: *
I enjoyed STARBASE.
Not at All
A Lot
On a scale of 1 to 5, tell us how you feel about the follow statement: *
I believe STARBASE helped me think that science or math could be fun.
Not at All
A Lot
On a scale of 1 to 5, tell us how you feel about the follow statement: *
Do you think STARBASE is beneficial for students?
Completely Disagree
Completely Agree
Explain your answer to the previous question *
Your answer
Are you doing anything now that is related to science, technology, engineering, or math? If so, please explain. *
Your answer
Do you plan to study (or Have you studied) STEM further? Technical School, College, etc? *
Your answer
Would you be willing to do any of the following: (Check all that apply.)
Submit
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