STUDENT INTEREST SURVEY

Name:________________________________Date:____________________Age:__________
1. If you could be anything in the world when you grow up, what would you be? Why?
2. What are your hobbies outside of school? (Ex. Music, sports, clubs, art, etc.)
3. If you could travel any place in the world, where would you go?
4. Do you have plans for after high school?
5. Do you have a job? Yes
No
6. What kind of activities do you like to do with your free time?
7. What is your favorite TV show or movie? Why?
8. What is your favorite food? _______________________________________________________
9. Who is your role model? __________________________________________________________
10. What do you when you get home from school?
11. If
you
won
the
lottery,
what
would
you
do
with
the
money?
_____________________________________________________________________________________
_______________________________________________________________________
12. Circle the subjects you enjoy most in school. Cross off the subjects you least enjoy.
English

Social Studies
Phys. Ed.

Science

Math

Art

Lunch

GOALS
13. Set a goal for yourself for the end of the week

14. Set a goal for yourself for the end of the marking period:
______________________________________________________________________________
______________________________________________________________________________
15. Set a goal for yourself for the end of the year:
______________________________________________________________________________
______________________________________________________________________________
Reference

Jacobsen, K. (2015). Hunter College, CUNY.