Name: __________________ Date: ___________________ Period:__________________
Student Interest Survey 1. The three things I do best in school are:
____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ 2. Some of the things that I would like to work on this year are: ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ 3. The grade that I want to earn in math class is __________________________ 4. Outside of school, my favorite activities are: ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ 5. The clubs, organizations, or private lessons I participate in are: _____________________________
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_____________________________
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6. My favorite sport is: _______________________________________________. 7. My three favorite books are: __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ 8. When I grow up, I want to be a ______________________________________.
Name: __________________ Date: ___________________ Period:__________________
8. If I could choose between watching television (or movies), playing on the
computer, or playing sports, I would choose _____________________________ because ____________________________________________________________. 9. The person whom I most admire is ___________________________ because ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ 10. The languages that I speak are: ____________________________________ ___________________________________________________________________ ___________________________________________________________________. 11. Some of the chores or responsibilities that I have are: __________________ ___________________________________________________________________ ___________________________________________________________________. 12. Three of my friends are: ___________________________________________ ___________________________________________________________________ ___________________________________________________________________. 13. When I am with my friends, we like to _______________________________ ___________________________________________________________________ ___________________________________________________________________. 14. Something about me that I would like to share with you is ______________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________.