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Math Lesson Plan Template

Use the survey document to collect information about your peers’ summer experiences.
Question Response 1 Response Response Response Response Response
2 3 4 5 6

1. What is your name?

2. How many books did you


read this summer?

3. How many hours did you


sleep, on average, each
night?

4. How many hours did you


spend, on average, with
media (computers, TV,
video games) each day?

5. Did you work over the


summer? (yes or no)
6. If you did work, what did
you do?

7. Did you take a class over


the summer? (yes or no)

8. If you took a class, which


one?

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