Exit this survey >> 2018 11th Grade Senior Planning Meeting Student Survey Question Title * 1. I identify as: Male Female Question Title * 2. The race I most closely identifies with is (check all that apply): African American American Indian/Alaskan Native Asian/Pacific Islander Caucasian Hispanic/Latino Other (please specify) Question Title * 3. I have had an ESL (English as a Second Language) or ELL (English Language Learner) class in the last year? Yes No Question Title * 4. Have you received special services through an IEP or a 504 Accommodation Plan? Yes No Question Title * 5. On report cards in the past year, I received mostly: Exceptional Grades Average Grades Below Average Grades Question Title * 6. In the past year, I missed school for: 1-5 days 6-10 days 11-15 days 16+ days Question Title * 7. My counselor's name: (click on the box to bring up the options) Mueller, Megan Smith, Dave Whitaker, Annette Dance, Victoria Next >>