Name:

Date:
Period:
All about YOU! Student Survey

Work Hard. Be ice. Be the Change.

Directions: Fill out the survey below. Be sure to answer EVERY PART of the questions!

1) In a word, describe "school':___________________

2) My birthday is on: _____________________
3) Write one word to describe you as a person:____________________
4) What time do you usually go to bed during the school year? _______________
5) How much time do you spend watching TV in a day? _______________
6) In a word, what do you want to achieve this year? _______________
7) How would you describe the perfect teacher? ______________
8) Describe Science in one word: ______________
9) If you had an unlimited ticket to travel anywhere in the world, where would you go? Who
would you take with you? Why?
________________________________________________________________________
________________________________________________________________________
10) One thing my teacher did last year that I liked the most:
________________________________________________________________________
11) One things my teacher did last year that I liked the least:
________________________________________________________________________
12) On question I have for Mr. Arroyo is:
________________________________________________________________________
13) Write down three things you would1ike to learn in this class.
i. ________________________________________________________________________
ii. ________________________________________________________________________
iii. ________________________________________________________________________
14) My dream is:
________________________________________________________________________
________________________________________________________________________