20/21 JA Titan Pre-Program Survey (EI) Tell Us about You Question Title 1. What are the first 3 letters of your last name? OK Question Title 2. When is your birthday? Month Date Month/Date January February March April May June July August September October November December Month/Date Month menu 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Month/Date Date menu OK Question Title 3. What is your teacher's last name? OK Question Title 4. What grade are you in? 6th 7th 8th Other (please specify) OK Question Title 5. What school do you attend? OK NEXT