Student Questionnaire – Getting to know you

Name: Click to enter your name☐Mod1☐Mod5

Name you would like to be called: Click to Enter nick name or preferred name

Where do you like/need to sit in class? Click here to enter text.

Sports you participate in: Sports you participate in or enter NONE

☐YES☐NODo you play an instrument?If Yes, Which one(s)?Instrument(s)

☐YES☐NODo you have a smart phone?

☐YES☐NODo you have a computer to use at home?

☐YES☐NODo you have RELIABLE internet access at home?

☐YES☐NODo you know your eschool login so you can check your grades at school?

Who is the best person to contact at home to discuss this class?Click here to enter text.

Check what you believe to be the best method of communication from school

☐ Home Telephone number Click here to enter text.

☐ Cell Telephone number Click here to enter text.

☐Email addressClick here to enter text.

Best time to contact by phone? Click here to enter text.

What do you think of the following statement, “I feel confident when I do mathematics questions”?

☐ Strongly Agree ☐Agree ☐Do not know ☐ Disagree ☐Strongly disagree

What do you think of the following statement, “I can sketch well”?

☐ Strongly Agree ☐Agree ☐Do not know ☐ Disagree ☐Strongly disagree

What do you think of the following statement, “I know how to use inventor”?

☐ Strongly Agree ☐Agree ☐Do not know ☐ Disagree ☐Strongly disagree

What do you think of the following statement, “I enjoy presenting to people”?

☐ Strongly Agree ☐Agree ☐Do not know ☐ Disagree ☐Strongly disagree

What do you think of the following statement, “I work well in groups”?

☐ Strongly Agree ☐Agree ☐Do not know ☐ Disagree ☐Strongly disagree

What do you think of the following statement, “I complete assignments on time”?

☐ Strongly Agree ☐Agree ☐Do not know ☐ Disagree ☐Strongly disagree

What do you think of the following statement, “I know how to do take good notes”?

☐ Strongly Agree ☐Agree ☐Do not know ☐ Disagree ☐Strongly disagree

What do you think of the following statement, “I know how to use Microsoft excel”?

☐ Strongly Agree ☐Agree ☐Do not know ☐ Disagree ☐Strongly disagree

What are you most proud of?

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What was your favorite class last year? Why?

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Why did you enroll in this class?

Click here to enter a date.

After high school, I will probably...

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My ideal job would be...

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