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Name:___________________ Period:________________

Student Interest Survey


My full name is ________________________________ but people call me

___________________________. My birthday is __________________________.

Some of my interests are

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My 2 favorite school subjects are _____________ and _____________.

My favorite way to spend my free time is

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In the future, I’d like to

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Something you should know about me is

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Some things that past teachers of mine have done that I liked/didn’t like are

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Three things that I did not understand in math class last year were

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The most important thing a teacher can do to help me succeed is

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I like to work on math (circle any that apply)

individually

with a partner

in a group

by playing games

on a computer

I ______________ when a teacher calls on me.

I expect to earn a ____________ in this class.

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