Font size
S
M
L
XL
WorksheetsBeginning of the Year Dance Survey
Total questions: 20
Worksheet time: 2hrs 35mins
Name
Class
Date
1.
What is your first and last name?
4 lines
2.
Pronouns you identify with (she/her, they/them, he/him, etc.)
4 lines
3.
What is your email address?
4 lines
4.
What is your phone number?
4 lines
5.
What is your address?
4 lines
6.
Which period do you take dance?
a)
2nd Period
b)
3rd Period
c)
4th Period
d)
5th Period
e)
6th Period
7.
Parent or Guardian's Name
4 lines
8.
List any dance or theater experience. Include the amount of time and teacher.
4 lines
9.
What is your favorite style of dance?
4 lines
10.
Which style of dance do you think you may struggle with?
a)
Line Dancing
b)
Tap
c)
Jazz
d)
Ethnic (example: Hawaiian Dance)
e)
Hip-Hop
11.
Do you have a hobby or favorite thing to do?
4 lines
12.
What are the languages you speak at home?
4 lines
13.
How would your friends describe you?
4 lines
14.
Name three positive things about yourself?
4 lines
15.
Name three things about yourself, that you feel, you want to improve.
4 lines
16.
What is your favorite subject?
4 lines
17.
What is your least favorite subject?
4 lines
18.
Confidential: Is there anything I should know about you or any special learning or medical needs you may have? This may include a vision or learning problem, asthma, or even a learning disability, etc. If this question does not apply to you, type N/A.
4 lines
19.
Why are you taking this class?
4 lines
20.
What do you want to do after high school? Any long term goals? Do you have an goals for dance after you finish high school?
4 lines
Reset
