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Student Survey
Please answer the following questions so I can learn more about you!
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* Indicates required question
Student Name:
*
Your answer
Reading
Which do you read the most:
*
Choose any that apply
Newspaper
Magazines
Internet
Books
Textbooks
Comics
Other:
Required
My favorite book is...
*
Please finish the sentence.
Your answer
Language
The language I am most comfortable with is...
*
Please finish the sentence.
Your answer
The language most spoken at home is...
*
Please finish the sentence.
Your answer
Please rate your comfort levels with the following:
Reading Comprehension:
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(Understanding and remembering what you read)
extremely difficult
1
2
3
4
5
6
7
8
9
10
very easy
Writing:
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extremely difficult
1
2
3
4
5
6
7
8
9
10
very easy
Technology
Do you have a computer at home?
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Yes
No
Do you have internet access at home?
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Yes
No
Do you have a cell phone?
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Yes
No
If you have a cell phone, do you have texting?
*
Yes, unlimited
Yes, but only a certain number of texts
No
You
In ONE word, how would you describe school?
*
Your answer
What is your favorite kind of music?
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Your answer
What is your favorite sport?
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Your answer
What do you like to do when you're not at school?
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Your answer
What do you want to do when you graduate from high school?
*
Your answer
Almost done!
Is the past, what have you struggled with most in English class?
*
Your answer
Is there anything I can do to help you?
*
Your answer
One thing you should know about me is...
*
Please finish the senetence.
Your answer
One thing I would like to know about Ms. Tuck is...
*
Please finish the senetence.
Your answer
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