JUNIOR HIGH QUESTIONNAIRE for
TRANSITION PLANNING
Student______Grade______Date______
School
Related to Employment
1. What hobbies or interests do you have?
2. Do you have a part-time job right now? _____ If so, where do you work and what do you do?
3. What other jobs have you had, either for pay or as a volunteer?
4. What do you see yourself doing after high school? (Check all that apply.)
Attend a four-year college
Attend a junior college
Attend a vocational or technical school
Enroll in the military
Go to work full time
5. Circle as many kinds of job from this list below that you think you could be trained to do and would enjoy doing if you had the needed training.
actor/actress diesel mechanic police officer
artist doctor radio/TV technician
auto body repairman electrician radiology technician
auto mechanic factory worker restaurant/fast food
beautician farmer salesperson
brick layer fashion designer secretary
broadcaster fireman security guard
bus driver garden/greenhouse worker
cafeteria worker homemaker sheet metal worker
carpenter hospital attendant teacher
cashier hotel/motel housekeeper teacher aide
child care worker hotel/motel manager telephone repairer
commercial artist landscape technician travel agent
computer operator librarian truck driver
conservation worker machine operator veterinarian
construction worker nurse veterinarian assistant
cook/chef nurses’ aide welder
custodian photographer
Related to Adult Living
1. Where do you see yourself living as an adult?
Living at home with family members
Living on my own
2. Do you order and pay for meals at a restaurant by yourself? .
3. Do you purchase items from a store by yourself? .
4. Have you ever mailed a package at a post office by yourself? .
5. Do you use the public library to check out books? . .
6. Do you make your own appointments for a hair cut? .
7. Do you have your own savings account? Checking account? .
8. Do you receive an allowance? . If so, how much and how often?
9. What are your responsibilities or chores at home?
10. If you were at home alone and there was an emergency, what would you do?
Related to Academic Needs and Accommodations
1. How do you rate your school attendance? (Circle one) Excellent Average Poor
2. How do you rate your assignment completion? (Circle one)
Always in on time Sometimes late Usually late
3. What do you feel are your academic strengths?
4. What do you feel are your academic weaknesses?
5. What is your preferred learning environment and style? (Check all that apply)
Quiet environment with less auditory stimulation
Small group or one-on-one instruction
Seated near the instructor
Seated visually away from peers
Learn by listening
Learn by doing things with my hands
Learn with visuals and demonstrations
Learn by reading