SCHOOL SURVEY

Who Are You?

First Name: ______________________________________ LRN: ______________________________

Middle Name: _________________________________ Birth Date: ________________________
Last Name: ____________________________________ Place of Birth: _____________________
Home Address: __________________________________________________________________________
Religion: ____________________________________ Cel. Nos.:_________________________
Father’s Name: __________________________________ Occupation: _____________________
Contact Number: _____________________________
Mother’s Name: ______________________________ Occupation: ___________________
Contact Number: _______________________________

About Your Activities and Interests

1. How do you get to school? How long does it take?

2. What organizations/club and extra-curricular activities do you plan to get yourself involve with?

3. What do you do after school?

4. What are your other interests?

5. What do you imagine yourself doing 10 years from now?

About the Way You Learn

1. In a word, describe your school.

2. Name 3 things you don’t understand in your previous science subject.

a. _____________________________

b. _____________________________

c. _____________________________

6. How would you like to learn the topics in Science?

7. Who is the best teacher you ever had? Why?

8. What are the things that I must do as your teacher to achieve?

9. What’s fair for me to expect from you?