Information Survey for Mrs. Farmer's Chemistry Class
Which class period are you in? *
What is your LAST name? *
Exactly as it shows up on the roster!
Your answer
What is your FIRST name? *
Exactly as it shows up on the roster!
Your answer
Do you have a nickname that you would like to go by in class?
(Jen instead of Jennifer for example)
Your answer
What math class are you currently in? *
If you are not in a math class this year, what is the last math class you passed?
Do you have a computer at home? *
Do you have a printer at home *
Do you have a smart phone that can connect to the school's wireless service? *
Have you taken high school Chemistry before? *
Have you taken high school Integrated Physical Science before? *
Are you in any of the following classes?
Check all that apply
Please list any school sport teams you are on, or expecting to be on.
LEAVE BLANK if not applicable
Your answer
When is your birthday? *
MM
/
DD
Tell me an interesting fact about yourself, or about a hobby or interest of yours *
Your answer
Any questions, or things I should know?
Your answer
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