Student Survey - Getting to Know You

A student survey that allows educators to get to know students right away. Various questions are included that celebrate cultural diversity.

• Category #1: Student Information
• First Name
• Last Name
• Name they prefer to go by
• Preferred pronouns
• she, her, hers (female gender binary)
• he, him, his (male gender binary)
• they, them, theirs (gender neutral)

• Classes(es) student is in (if you teach multiple subjects and/or periods)
• Birthday
• Birthday and holidays: Do you celebrate your birthday and/or holidays?
• Allow for a short answer text

• Category #2: Home Life
• I live with… (complete the sentence. If you go between homes, I'd like you to tell me about that ex: Monday-Thursday I live with my mom and two sisters, Friday-Sunday I live with my grandma and two sisters).
• What language(s) do you speak at home starting with the primary language you speak. P.S. If you speak another language, I am jealous and would love to learn. Please teach me a few key words this year!
• If you have siblings, please list their names and ages (ex: Sister Bella 6, brother Benji 5)
• Do you have pets? If so, what kind and names?
• Who are your best friends?
• Last year, I went to school at
• Option 1: Our school
• Option 2: "Other" fill in the blank

• Describe yourself in three or more words

• Category #3: School Life
• What do you enjoy most about school?
• What is your favorite subject?
• What is your elective class?
• What do you find to be your most difficult subject and why?
• Who is your favorite teacher of all-time and WHY?
• Describe any struggles you have had related to school in the past that are NOT COVID-19 related

• Category #4: Distance Learning and Technology (new)
• How did you do last year with distance learning?
• Describe your experience last year with distance learning in three or MORE sentences. Give me specific details. "I chose mediocre because __.
• We all GREW last year through our struggles. What are three ways you found you grew?
• Where is your primary work space after school? Where would you do homework?
• Do you have internet access at home?
• Do you have a working printer at home?
• Which device do you have? (ex: School-issued, personal, both)

• More information to help me teach you and reach you!
• I learn best when… (fill in the blank - think of strategies you've used that work well for you to help you engage in your learning)
• I struggle to learn when… (fill in the blank)
• What are you most excited about for this school year?!
• Career: Think ahead! What is your dream job? Or, if you don't know, what is something you feel you are naturally good at and enjoy?
• College: Think ahead! Do you have a dream college in mind yet? If not, do you have a specific location you are interested in (ex: near the beach, out of state, etc.)
• Something my teacher should know about me… (For example: Learning disabilities, if you need to sit close to the board, issues that are going on at home, living situations, an after school activity you're involved in, etc.). I will not tell ANYONE this information unless it involves your safety.