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Title: Student Interest Survey

1. Full name [First Middle Name] _________________


2. Age: _______
3. Gender: ___________
4. Grade level: [ Put check on the corresponding circle]
0- Kindergarten
0-Grade one
0-Grade two
0-Grade three
0-Grade four
0-Grade five
0-Grade six
5. Favorite food: _______________
6. Favorite sport or game: _______________
7.Favorite subject: _______________
8.Favorite movie: _______________
9.Favorite artist: _______________
10.Tell me about yourself in one sentence:
____________________________________________
1. Full name [First Middle Name] _________________
2. Age: _______
3. Gender: ___________
4. Grade level: [ Put check on the corresponding circle]
0- Kindergarten
0-Grade one
0-Grade two
0-Grade three
0-Grade four
0-Grade five
0-Grade six
5. Favorite food: _______________
6. Favorite sport or game: _______________
7.Favorite subject: _______________
8.Favorite movie: _______________
9.Favorite artist: _______________
10.Tell me about your self in one sentence:

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