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Name (and preferred name/nickname if you have one)
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Your answer
Preferred Gender Pronouns
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Your answer
On a scale of 1 to 5, rate your interest in science. A rating of 1 means that you are not interested in science, a rating of 5 means that you are very interested in science.
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1
2
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5
What do you want to learn about this year?
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What do you need from me to be successful this year?
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Your answer
How do you respond when challenged?
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Is there anything that you would like to tell us privately that might affect your performance in our class?
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Your answer
What do you like to do outside of school? (Interests/Hobbies)
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What is your favorite TV show/book/movie you watched this summer?
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