* 1. Your Full Name

* 2. Your School

* 3. Your Learning Center

* 4. Your Teacher's Name

* 5. How long have you been at your school?

* 6. What instructor has made the biggest change in your life? How did he or she do it?

* 7. What is your proudest accomplishment related to school? Be specific about what you accomplished.

* 8. What is your favorite memory from your school? Please describe below.

* 9. Would you recommend this school to others? Choose Yes or No, and explain.

* 10. Do you feel you have been successful at your school? In what ways? Be specific.

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