Student Survey
Please complete this survey so that we can make this semester a successful one!
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Name: *
What Section are you in? *
The Section is listed in the name of your course.
What grade are you in? *
When is your birthday? *
We will celebrate these as they come along!
Parent/Guardian Name(s) *
Please put both first & last names.
What is a cell phone number for each parent/guardian? *
Please list a cell phone number for each parent or guardian, with his/her name.
Home Phone *
What is your home phone number?
What is an email address for each parent/guardian? *
Please list an email address for each parent/guardian with his/her name.
Do you have a personal cell phone number? If so, what is your number? *
Please note: having a cell phone is not required for this class, but group texts and personal texts are often sent to students as reminders and for quick communication.
Personal email address: *
Your instructor may add your email to copy you on all correspondance with your parent and school, so please be accurate. If your email does not match the one listed in Moodle for you, please have your eLA change your address so you receive announcements, etc.
Do you have easy access to a computer and internet outside of school? *
Please note - accessing a computer outside of school is not required to take this class, but may be desirable at times.
Do you currently have a part-time job, or plan to begin a part-time job this fall that will require more than 10 hours a week? *
What is the last science class you completed in school? *
Please check below ALL of the Math classes that you have successfully completed: *
If you took the class, but earned a grade below passing, please do not check the class. If you are currently in the clas, but have not completed the class, please do not check the box.
Required
Post HS plans *
What do you think you want to do after high school?
Required
When I grow up I want to be a(n)... *
What do you want to do?
Something I would like Mrs. Dorr to know about me is... *
This can be course related or personal. I love getting to know my students!
Favorite Color
What is your favorite color?
Favorite Holiday
What is your favorite holiday?
What is your favorite food to eat?
Do you play any sports for your school or a club?
If you do, what sport & position?
Do you play any musical instruments?
What do you like to read?
If you read outside of school, what genre and authors? If you only read in English class, what's something you have liked?
What is your favorite type of dessert?
Pets
Do you have any pets? If so, what types and what are their names?
What's your favorite thing to do during the summer?
Select as many as apply.
What's your favorite kind of animal?
Who is your hero?
Who inspires you?
What is your proudest accomplishment?
This can be anything that you're proud of.
What was the last movie you saw? Did you like it?
Which actor or actress would play you in a movie about your life?
What is your favorite movie?
What is your favorite thing to watch on TV?
If you could eat only one meal for the rest of your life, what would it be?
What's your favorite board game to play?
Ex: Monopoly, Hungry Hippos, Apples to Apples, cards, etc.
If you could go back in time, where and when would you go?
If you were a superhero, what powers would you have?
What's your favorite ride at the amusement park?
If you had to describe yourself as an animal, which one would it be?
Who is your favorite musical artist?
Favorite singer or group.
What's your favorite song?
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