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Student Survey
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* Indicates required question
My name is (first & last):
*
Your answer
Parent/Guardians Name:
*
Your answer
Where do you have internet service? What type? [Check all that apply]
*
School; High Speed
Home; High Speed (wifi)
Cell Phone Data
Relatives House; High Speed (wifi)
Other
Required
What type of computer/device(s) do you have regular access to? [Check all that apply]
*
My own computer/laptop
Family computer/laptop
My own smartphone
A family members tablet
My own tablet
School provided iPad
Required
What typically is your favorite subject? Why (interesting, hands-on, etc)?
*
Your answer
What is your favorite period in history to learn about (revolutionary, ancient, industrial, wars, etc)? Why?
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Your answer
What are AT LEAST two (2) of your favorite interests or hobbies?
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Your answer
What extra-curricular activities and/or sports do you participate in or plan to participate in (both in and out of school)?
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Your answer
What are your goals for this school year?
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Your answer
What is one long-term goal for your high school career?
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Your answer
Do you have any allergies? If so, what are they?
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Your answer
Do you carry an EpiPen?
*
Your answer
Is there anything else you would like me to know about you?
*
Your answer
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