Survey For First Day Of School
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Name: ____________________________________________ Address: __________________________________________ __________________________________________________ Telephone Number: _________________________________ Cell Phone: ________________________________________ Email Address: _____________________________________ Do you have Internet access at home? YES
NO
What is your learning style? VISUAL
AUDITORY
TACTILE
OTHER/COMBINATION
Do you prefer tests with
20-25 Questions 25-30 Questions 30-50 Questions
Number in order of preference (1-favorite 4-least favorite) ___ Multiple Choice ___ Fill in the Blank ___ Open Ended ___ Matching Do you prefer group, partner, or individual projects/assignments? ______________________ What healthcare specialty interests you? __________________________________ What made you choose the health science career track? _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______
NO
What is your learning style? VISUAL
AUDITORY
TACTILE
OTHER/COMBINATION
Do you prefer tests with
20-25 Questions 25-30 Questions 30-50 Questions
Number in order of preference (1-favorite 4-least favorite) ___ Multiple Choice ___ Fill in the Blank ___ Open Ended ___ Matching Do you prefer group, partner, or individual projects/assignments? ______________________ What healthcare specialty interests you? __________________________________ What made you choose the health science career track? _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______
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