Student Information Form
Please READ each of the following questions CAREFULLY and be sure to answer thoroughly and accurately. There are THREE sections to this form. Any information you share here is CONFIDENTIAL; I am the only person who will read it (and probably Google, since this information is collected via Google Forms).

This should take between 15-30 minutes (depending on your grade level). There's no rush, so don't stress, I will give the class a warning before we wrap up.


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Part I: General Information
Course? *
Your LAST name, and then FIRST name (ex. Smith, Rachel) *
Identity: Do you have a preferred name or gender pronouns I should use to call on you in class? If not, type "N". *
Do you have any medical concerns I need to be aware of (ex. severe allergies; do you have an epipen; where you keep your epipen when you're at school, etc.)? If so, please explain, in case of emergency. If you have none, type "N". *
Do you have any difficulties that might make this class more challenging (ex. trouble seeing, hearing, understanding English, etc.)? If so, please explain. If you have none, type "N". *
Do you intend to play for any of SD's sports teams? Check all that apply. *
Required
Do you intend on joining any of SD's clubs? *
Do you belong to any club teams or organizations outside of school? If so, how many hours do you commit per week to that activity? *
If you have a job, how many hours a week do you spend at your job? *
Part II: School Expectations and Experiences
What final grade are you striving for in this course?
 *
What steps can YOU take to ensure you get the grade you WANT? I'm looking for a more thoughtful response than "work hard". *
What's ONE thing that you know is your strength when it comes to school? *
In your opinion, what makes for an AWESOME teacher? NO names, instead, think of qualities or characteristics you liked about that person.   *
Your success is important me. What are some things I can do to help you succeed in this course? *
What's ONE thing your teachers need to know OR you wish they knew about you in order to better understand you? *
Is there anything you're excited or hopeful to learn about in this course?
 *
Psychology students only: Why did you choose Psychology 11? Everyone else respond with "NA".
 *
Choose ONE of the following options: *
Rate your comfort level with oral presentations *
Terrifying
Easy
I am MOST comfortable expressing my learning through... *
Complete the following sentence: "School makes me feel..." *
Part III: 'Get To Know You' Questions
Getting to know you makes my job easier and more interesting. Don't think about these questions too much, just write down what comes to mind first. Again, these responses are CONFIDENTIAL.
You can go anywhere in the world tomorrow. Where would you go? *
Best book you've read *
Choose a door:  *
Captionless Image
Best show or movie you watched over the summer... *
What's the name of the last song you listened to? Include the artist's name.  *
Your favourite movie (you seen this movie multiple times OR the world would be a boring place without it)? *
Your greatest strength *
What's your favourite class in school? *
When you're trying to work at home, what, specifically, is your biggest distraction? *
REAL person you admire the most in the world? *
Rate your meme game *
Pathetic
Fire
Where do you see yourself in 10 years? *
If you were an animal, what would you be? *
What's an adjective others would use to describe you? *
Look at the image. Answer the following question: *
Captionless Image
What chore do you absolutely HATE doing at home? *
Has Mr. D'Souza taught you OR a relative of yours before? *
What character trait(s) do you value or respect the most in others? *
ONE random fact about you? *
Do aliens exist? *
Personal Goal: What's ONE thing you hope to accomplish this year? This is specific to just you, and it is strictly a NON-academic goal, so NOT related to school. *
Are you glad you're done this survey? *
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