Name:_________________________

Hello! As many of you know I am going to be here for the next couple of weeks and I was
hoping to get to get to know each of you better. Fill out this survey to tell me what you like
to do outside of school, and how you like to learn in school.
1. My favorite thing to do after school is ______________________________.
2. My perfect weekend includes _____________________________________
__________________________________________________________
3. I have ____ siblings. They are so _________________________________ .
4. If I was stuck on a space ship for two years the one thing from home I would
need to have with me is __________________________________________.
5. My favorite book is ______________________________________.
6. My favorite movie is ________________________________________.
7. My favorite part of school is ______________________________________
because ______________________________________________________.
8. My favorite way to share what I know is (circle as many as you want)
Telling a classmate

Telling the class

Writing

Drawing

Other ____________________
9. I learn the most when __________________________________________
____________________________________________________________.
10. At school I am (circle as many as you want)
Quiet

Talkative
Bored

Excited
Happy

Interested
Sad

Tired
Other: ________

because ______________________________________________________

Want to know more about me? Write (type) me a question. Thanks! Miss Stathopoulos