Mirus Fall Student Survey 2011 Question Title * 1. What grade are you in? 7 8 9 10 11 12 Question Title * 2. What is your gender? Male Female Question Title * 3. How long have you been with Mirus? 0-6 months 7-12 months 13-18 months 19 + months Question Title * 4. What brought you to Mirus?Check all that apply. Counselor referral Credit deficient, behind in grade level course work Looking for an alternative educational setting Looking for a safer, more positive learning environment Discipline problems in previous school Other (please specify) Question Title * 5. In what type of school were you previously enrolled? Public Private Home School Other (please specify) Question Title * 6. Do you currently have a part time job? Yes No Type of job Question Title * 7. Mark the subject areas you have improved in since attending Mirus. English Math Science Social Studies Electives None Question Title * 8. How many credits (courses) do you plan to complete in the next 10 months? 0-3 4-7 8-11 +12 Question Title * 9. Rate your overall progress since you have attended Mirus. A - Greatly Improved B - Improved C - Slight Improvement D - No improvement F - Student has fallen behind Please rate accordingly. Please rate accordingly. A - Greatly Improved Please rate accordingly. B - Improved Please rate accordingly. C - Slight Improvement Please rate accordingly. D - No improvement Please rate accordingly. F - Student has fallen behind Question Title * 10. Rate your teacher's availability to discuss your academic progress. A - Teacher is always available B - Teacher is regularly available C - Teacher is sometimes available D - Teacher is rarely available F - Teacher is never available Please rate accordingly. Please rate accordingly. A - Teacher is always available Please rate accordingly. B - Teacher is regularly available Please rate accordingly. C - Teacher is sometimes available Please rate accordingly. D - Teacher is rarely available Please rate accordingly. F - Teacher is never available Question Title * 11. Does your teacher meet your academic needs and keep you on "target?" Yes Sometimes No Question Title * 12. Do you get help when you ask for it? By Whom?Please check all that apply for who assists you. Yes Sometimes No Teacher Classroom assistant Other students Question Title * 13. Do you know what is expected of you on a daily basis? Yes Sometimes No Question Title * 14. Do you feel that you are learning the skills needed for academic success? Yes No Question Title * 15. Do you feel prepared for state-wide testing? Yes Somewhat prepared No Next >>
