Student Information and Interest Survey 1. Full name:__________________________________________ 2. Name you prefer (if different from above): ____________________ 3. When is your birthday? ______________________________________ 4. Where were you born? (city and state) _______________________________________________________ 5. What is your address? _______________________________________________________ 6. List your favorite: Color
TV show
Food
Movie
Soda
Music group/singer
Fruit
Restaurant
Candy
Snack
Bible verse
Dessert
Holiday
Animal
Sport
Subject in school
Season of the year
Hobby/activity
Joy in the Journey
7. Books and Literature Check off all of the following genre (types) of books that you would like to read. _____ animal stories _____ adventure _____classics _____ science fiction _____ fantasy _____ news stories _____ horror _____ sports stories _____ history stories _____ suspense _____ fairy tales _____ true-life stories _____ poetry _____ mythology _____ mystery _____ stories about children _____ comics _____ fables 8. What is your favorite book? _______________________________________________________ 9. List four books that you have read in school: _______________________________________________________ _______________________________________________________ _______________________________________________________ _______________________________________________________ 10. Who is your favorite author? _______________________________________________________ 11. Give a title of a book you would like to read: _______________________________________________________ 12. One classroom job you’d love to have is: ____________________________ 13. List three topics you’d like to learn about/discuss this year: _______________________________________________________ _______________________________________________________ _______________________________________________________ 14. Anything else you think I should know: _______________________________________________________ _______________________________________________________ _______________________________________________________
Joy in the Journey