Skip to content
19-20 SHINE SEL Grades 3 and 4 (Pre)Survey
1.
What month were you born?
January
February
March
April
May
June
July
August
September
October
November
December
2.
What year were you born?
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
3.
Are you male or female?
Female
Male
4.
Who do you live with most of the time?
My mother and father
Only my mother
Only my father
My mother and stepfather
My father and stepmother
Some time with my mother and some time with my father
With another relative
A guardian or foster parent
Alone or with friends
Other (please specify)
Current Progress,
0 of 12 answered