WorksheetsElementary Student Input Form
Total questions: 20
Worksheet time: 14mins
Name
Class
Date
1.
My name is:
4 lines
2.
My age is:
4 lines
3.
The grade I am in: (a)
Choose from the below words
1
2
3
4
4.
Today's date is:
4 lines
5.
Classes and subjects I am really good at:
a)
science
b)
math
c)
reading
d)
art
e)
writing
6.
Classes and subjects I need extra help with:
a)
science
b)
math
c)
reading
d)
art
e)
writing
7.
It helps me when I:
a)
have things read to me
b)
have extra time
c)
sit in the front of the room
d)
have help getting organized
e)
use a math chart
8.
It also helps me when my teachers:
4 lines
9.
I work my best:
a)
by myself
b)
in a small group
c)
with a partner
10.
Things I do really well:
a)
telling stories
b)
typing
c)
drawing
d)
being a helper
e)
following the rules
11.
Other things I can do really well:
4 lines
12.
I love to:
a)
play outside
b)
use the computer
c)
cook/eat
d)
look at/read books
e)
play sports
13.
What I love to do the most:
4 lines
14.
I have trouble with:
a)
telling how I feel
b)
basic computer skills
c)
coloring
d)
waiting my turn
e)
writing stories
15.
It is also hard for me to:
4 lines
16.
I want to learn to:
4 lines
17.
Activities, jobs, or careers I want to try are:
4 lines
18.
After high school I want to:
4 lines
19.
After I finish high school I would like to live:
4 lines
20.
I dream my future will be:
4 lines
100 %
