Gifted Individualized Education Program
STUDENT SURVEY - GIEP RENEWAL

Thank you for taking the time to complete this survey about you. Your input is invaluable
when writing a GIEP to guide your learning.

Please answer as completely as you can.

Please do not discuss specific teachers or classes by name.


FOR YOUR CONSIDERATION . . .

A reminder that a GIEP does not ensure success. A GIEP is a specially designed for you,
your teachers and your parents to follow. A GIEP adjusts to your learning; it adjusts pace, content,
and accommodations to your learning level.

Education is a transaction. Efforts from both parties equal success. It is up to YOU to use
this map and to work hard.

A GIEP is not designed to correct bad habits or remedy learning issues. A GIEP cannot legally contain language that is
remedying problem behaviors, immaturities, disabilities (physical and mentall), or lack of work ethic.

I would like to meet you, if I have not already done so.

Please feel free to visit me in room 164, or email me at Brian.Dietzler@rtsd.org.

Now, let's get to work!
Student Name *
Complete First and Last Name
Your answer
Grade: *
Your answer
Parent / Guardian(s) Name(s) *
Complete First and Last Name(s)
Your answer
Choose the best answer: “With my current classes, overall I feel that I am __________________________.” *
Choose the closest answer
Personally, my favorite subject (mathematics, music, science, etc.) is: _______________________________ *
What is it and Why?
Your answer
Which subject do you perform best in? *
Your answer
Which subject do you perform least in? *
Your answer
"Think of the best teacher you have ever had. What methods of teaching did they use that worked well?" *
Answer completely honestly - Do not use specific names, please.
Your answer
Finish this sentence: “I am really good at ____________ Because . . . *
What and Why?
Your answer
“I am still working hard to _________________________ Because . . . " *
What and Why?
Your answer
"Related to my studies, I get the most anxiety from ____________________ Because . . . " *
What is it and why?
Your answer
"Learning is fun for me when . . . " *
Your answer
What kind of assessments do you think best measure your learning? *
Assessments measure learning. Examples are: Multiple choice test; project with a group; book report; verbal report or Socratic seminar, etc.
Your answer
"When it comes to my schoolwork, at home I feel . . . " *
Your answer
"My favorite book/author is _______________ Because . . . . " *
What and Why
Your answer
"Some of my heroes include __________ Because . . . " *
What and Why
Your answer
"One of my favorite quotes is _______________" *
Your answer
"I am most proud of ___________________ Because . . . " *
Your answer
"Something you should know about me is . . . " *
Your answer
"Right now, the career I am leaning towards is _________________ Because . . . " *
What and Why
Your answer
Please create a brief resume of your activities, accomplishments, sports, part time jobs, etc., including number of years of study. *
Example: "Piano Lessons - 6 yrs; Baseball - 5yrs Recreational - 3 yrs at Radnor; Chess Club - 2 yrs; etc.
Your answer
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