Back-to-School Student Survey

Get to know each student's interests, goals, and expectations for the year so teachers can tailor their approach from day one.

Use this template

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Student Name

First Name

Last Name

Age

Grade Level

Phone Number

Email

What talents would you like to share?

What are your hobbies? Tell us more about them

Do you have a pet? If so, tell us more about it

What are your goals this year?

What are your goals for the next 5 years?

What would you like to become when you grow up?

Which college or university would you like to attend, if you're planning to?

What score/grade are you planning to achieve this year?

What do you expect to learn in this class?

What club or group would you like to join this year?

Do you want to participate in extracurricular activities?

Yes No

What type of learner are you?

Visual Auditory Reading/Writing Kinesthetic

Are you willing to help other students in the school?

Yes No

Tell us how other students can help you in school

Is there something else you would like to share?

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