Foundations Survey 2009
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Please answer all questions honestly.
All information provided will be kept strictly confidential.

1. Type your name here

2. Enter your ID number

3. Enter your foundations teacher

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4. How many D's and F's did you earn for semester grades on your last report card?

 01234
Semester D's
Semester F's

5. In the past two weeks, how many times did you get help at the places below?

 01 time2 times3 times4 or more times
Resource Center (RC - after school)
Tutoring (during the day)
Meet with teacher for help

6. On the average, how much time do you spend on homework each night?

7. Did you earn seminar for the spring semester?

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8. Sports

 Fall SportWinter SportSpring Sport
What sports have you been involved with (or plan to be involved with)?

9. If you are not involved in any sport, please explain why not?

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10. How many clubs/activities are you involved in?

11. How often do you attend a club meeting or club activity?

12. If you are not involved in a club or activity, please explain why not?

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13. Work outside of school.

 I do not have a job1-10 Hours per Week10-20 Hours per WeekMore than 20 Hours per Week
How many hours do you work per week?

14. Family Commitments.

 0-5 Hours per Week5-10 Hours per Week10-20 Hours per WeekMore than 20 Hours per Week
How many hours per week are you responsible for family commitments?

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15. How do you usually feel during the school day?

16. Rate the school spirit at Hoffman Estates H.S.

17. Rate the support given to you from your math teacher at Hoffman Estates H.S.

18. Rate the support given to you from your counselor at Hoffman Estates H.S.

19. What additional comments do you have?

   


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