WorksheetsStudent Interest Survey
Total questions: 28
Worksheet time: 1hrs 15mins
What is your first and last name?
Do you have another name you'd like your teacher to refer to you with?
Do you have any pets? If so, what kind? How many? Share anything special you'd like about them.
What sports do you play? Do you play for a team or just for fun? Where do you play these sports? If none, just type "N/A"
What is your FAVORITE school subject? Why?
What is your LEAST Favorite subject? Why?
If you had the chance to be part of a Robotics team that competes on weekends with other students from other schools wuoudl you be interested?
Have you ever build robots before?
Have you ever created a program to make a robot move?
Yes
No
Where did you go to school last year?
Do you have any brothers or sisters that attend HOMS? If so, what grade are they in?
What is your favorite movie you recently watched?
What indoors games do you like to play?
Tell Mrs. DuBois about one thing you are super proud of about yourself.
Are you going to join any school clubs this year? If so, which ones?
If you could plan one field trip to anywhere with your classmates, where would you take us? Why?
If you could choose one problem at school what would you pick? Explain why. Tell how you might begin to solve it?
What is one thing you think Mrs. DuBois should know about you?
Where do you most like to sit in class? Why?
Do you prefer to work alone? With a partner? or with a group? Pick one and explain why you chose this option.
Explain why it's important to be kind to others in life.
Draw what it looks like to be respectful to your classmates and teacher.

Which reward would you rather. Choose 1.
Spin the wheel for a small treat
a popsicle
sit by a friend
Free time to do homework
Finish the sentence with ONE word. TECHNOLOGY IS...
Do you participate in any afterschool programs; like Karate, dance, gymnastics, basketball, football, swim, vocal lessons, etc...
Which social media platform do you like to use? Chose as many as apply to you.
Snapchat
Chatrooms
None of the following
I don't use any social platforms
Do you have your own cell phone?
Yes
No
What is one question you'd like to know about this class.
