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Student Interest

Survey
What is your given name? What grade are you in?
Do
you go by another name/nickname you want me to call you by instead?

What subjects do you like in school? (Check all that apply):


Math
Social
Art
Other:

Sciences
Reading
Lunch

P.E.
Writing
Nap time

English
Music
All

What do you do outside of school?

Are you involved in any clubs or teams in school?

What do you like most about art?

Is there a specific medium you like to work in?

Is there a specific subject matter you like to base your artwork around?

How do you learn best? (check all that apply):


when its
with my hands
presentation
charts
quiet
s
independentl
reading/writin
lectures
pictures
y
g
in
listening
stations
videos
groups/pairs
On a scale from 1 10 rate the importance of art to you. (1 being the lowest, 10
being the highest)
1
2
3
5
6
7
9

4
One question you have for me is

10

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