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* 1. What is your lunch code?

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* 2. What is the name of your school (please check the box)?

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* 3. What grade are you in?

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* 4. What does STEM stand for?

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* 5. Read each statement and respond with Yes, No or Not Sure

  Yes No  Not sure
 I belong to a math, science, computing, or technology club.
A teacher has encouraged me to choose a career in technology, math, science OR coding.
This school year I have checked out a book or other item from the school library that is about math, science, technology OR coding.
Something I learned in school about science makes me think one day I would like to get a job that uses science.
At my school, I have been exposed to coding activities.
I have learned enough about technology in my classes that I could help a family understand different types and uses of technology.
I have used maker space equipment at my school.
This school year, I have participated in at least three maker space activities.

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* 6. I often think,

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* 7. I often think,

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* 8. I often think,

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* 9. I often think,

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