Transition Survey

Where do you think you might like to live after you finish high

school?

• At Home

• Away From Home

If you chose

to live away from home, which options are you considering?

• Apartment by yourself

• Apartment with friends

• College Dorm

• None of the above

Are you interested in continuing your education after high school?

• Yes

• No

If yes, what subject

would you like to study?

If yes, where would you like to study? (check all that apply)

• Near Home

• Far from home

• A Small College

• A Large University

Are

you interested in going to work after high school?

• Yes

• No

What kind of

job would you be interested in?

Name 2 goals you have set for the future.

Check each skill you're able to do independently.

• Shop for clothes.

• Shop for food.

• Eat at a restaurant.

• Cook a meal.

• Use the bus or subway.

What would you like to be able to do more independently in life?

(at home, at school, at work, or in the community)