Eighth Grade - Physical Science Student Survey

Welcome to eighth grade physical science.  Please complete the following survey so that I can get to know a little bit about you.  Be sure to fill in all fields.

1.  First Name

2.  Last Name

3.  Street Address

4.  City and State   ex. Vernon, NJ

5.  Zip Code

6.  Home Phone Number ex.  (973) 555-1234 

7.  Parent/Guardian Last Name

8.  Parent/Guardian Cell Phone Number ex.  (973) 555-1234

9.  Parent/Guardian Email

10.  Student Email

11. Book Number

12. Lunch Period Choose One Period 4 Period 5 Period 6 Period 7

13. Enrichment Period Choose One Period 1 Period 2 Period 3 Period 4 Period 5 Period 6 Period 7 Period 8 Period 9

14. List ALL Book Damage - Be Specific...if you do not list it, you will pay for it at the end of the year.

15. Please write 3-5 sentences explaining what you like about science.

16. Browse through your textbook and list 3 topics that sound interesting to you.

17. Browse through your textbook and list 1 topic that you hope we do not cover this year.

18. Would you like to be the teacher for one day to earn extra credit?

Yes

No

19. If yes, what topic would you like to teach?  If no, type the word "none".

20. Choose the word that describes you best:

Over-achiever - You go above and beyond what is expected.

Hard worker - You give 100% to every assignment.

Average - You only do what is expected.

Under-achiever - You are capable of doing the work but you don't put in 100% of your effort.

21. Check the box or boxes next to the day that is best for you to stay after for extra help.

Monday

Tuesday

Wednesday

Thursday

22.  What period do you have science?   Choose One Period 1 Period 2 Period 3 Period 4 Period 5 Period 6 Period 7 Period 8 Period 9

Please click Submit when all fields are filled in.

Last updated Monday March 17, 2008