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Transition Survey

Total questions: 12

Worksheet time: 3hrs 0mins

Name
Class
Date
1.

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

school?

a)

At Home

b)

Away From Home

2.

If you chose

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

a)

Apartment by yourself

b)

Apartment with friends

c)

College Dorm

d)

None of the above

3.

Are you interested in continuing your education after high school?

a)

Yes

b)

No

4.

If yes, what subject

would you like to study?

4 lines
5.

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

a)

Near Home

b)

Far from home

c)

A Small College

d)

A Large University

6.

Are

you interested in going to work after high school?

a)

Yes

b)

No

7.

What kind of

job would you be interested in?

4 lines
8.

Name 2 goals you have set for the future.

4 lines
9.

Check each skill you're able to do independently.

a)

Shop for clothes.

b)

Shop for food.

c)

Eat at a restaurant.

d)

Cook a meal.

e)

Use the bus or subway.

10.

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

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

4 lines
11.

What

activities do you like to do for fun? (at school, after school)

4 lines
12.

What

activities would you like to try?

4 lines