Student Survey Geometry
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Transcript of Student Survey Geometry
Student Survey
Name: _______________________________________
Birth Date: ____________________________________ Life Coach: ____________________________________
Home Address: ___________________________________________________________________________________
Home Phone #:________________________________ Cell Phone #: __________________________________
Previous High School: ________________________________
E-mail Address: _________________________________________________________________________
Wh
at
I’d
lik
e t
o d
o/b
e w
hen
I
gra
duate
:
Qualities that characterize me: My favorite subject(s):
An
acc
om
plis
hm
ent
I am
pro
ud
of
& w
hy:
Qu
alit
ies
that
a g
ood
math
teach
er
has:
I think school is…
My least favorite subject(s):
How I feel about math:
The grade I expect in this class & why:
The Excel Center • Geometry • Term 3 • Ms. Miriam
Favori
te c
olo
r(s)
:My race / ethnicity / culture(s):
Child
/Ch
ildre
n (
Nam
e &
Ag
es)
:
My hobbies / strengths:
Places I have lived in:
Pla
ce o
f E
mp
loym
en
t &
Nu
mb
er
of
Hou
rs P
er
Week:
Lan
gu
ag
es
I sp
eak:
Favori
te T
V s
how
(s):
Favorite movie(s):
Why did you decide to come/stay at the Excel Center?
Favori
te s
nack
/food
/dri
nk:
Favorite book(s):
Challe
ng
es
that
mig
ht
make
it
diffi
cult
to s
ucc
eed
th
is
class
:
Who inspires you and why?
Wh
ere
I s
pen
d m
y f
ree t
ime:
How
do y
ou
get
to
sch
ool (Y
ou
dri
ve,
fam
ily m
em
ber
dri
ves,
b
us,
etc
.)?
ON
E T
HIN
G:
Best ways for me to learn something new (reading it, writing it, practicing/doing it, acting it out, hearing it, talking about it, etc.):
The Excel Center • Geometry • Term 3 • Ms. Miriam