Self Survey
Exit this survey
1.
*
1
. It's hard for me to pay attention during lessons or when working independently.
It's hard for me to pay attention during lessons or when working independently.
Strongly Agree
Agree
Disagree
Strongly Disagree
Why?
*
2
. I really want to learn and participate regularly in class.
I really want to learn and participate regularly in class.
Strongly Agree
Agree
Disagree
Strongly Disagree
What makes you think that?
*
3
. I complete my school work and homework on a regular basis.
I complete my school work and homework on a regular basis.
Strongly Agree
Agree
Disagree
Strongly Disagree
Why or why not?
*
4
. I often need extra help.
I often need extra help.
Strongly Agree
Agree
Disagree
Strongly Disagree
In what subject area?
*
5
. I would like more one to one attention from my teacher.
I would like more one to one attention from my teacher.
Strongly Agree
Agree
Disagree
Strongly Disagree
How would you like to receive that attention?
*
6
. What learning behaviors are you working to improve on in class?
What learning behaviors are you working to improve on in class?
*
7
. I feel safe in my classroom.
I feel safe in my classroom.
Strongly Agree
Agree
Disagree
Strongly Disagree
Please explain why or why not?
*
8
. I am self motivated to succeed and am working to my potential.
I am self motivated to succeed and am working to my potential.
Strongly Agree
Agree
Disagree
Strongly Disagree
How do you know?
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