INTEREST SURVEY

INTEREST SURVEY
Name:
Birthday:
Adults who live with me:
Brothers & sisters (names & ages):
Special friends:
What i like to do the most at home:
Special hobbies i have:
Name any sports you play
When i am with my friends, i like to
I have traveled to
if i could choose a place to travel, it would be
My hero is
Because
Chores & responsibilities i have at home:
because
fiction
non fiction
sports
magazines
comics fairy tales geography newspapers
fairy tales
geography
newspapers
if i had a million dollars i would
what do you want to learn this year?
where did you go to school last year?
where did you go to schoo last year?
school would be better if:
after i graduate, i want to
one thing i want you to know about me is:
special friends:
what i like to do the most at home:
special hobbies i have:
Name any sports you play
when i am with my friends, i like to
i have traveled to
if i could choose a place to travel, it would be
my hero is
because
if i could choose between watching television, playing video games, or using
the computer, i would choose
because
Fun things my family does together:
chores & responsibilities i have at home:
this is what my teacher did last year that i liked the most:
This is what my teacher did last year that i liked the least:
my favorite subject in school is:
My least favorite subject is:
i enjoy these types of reading: (circle all that apply)
story books fiction non-fiction sports magazines
fiction
non fiction
comics fairy tales geography newspapers
fairy tales
geography
newspapers
Book:
Movie:
TV Show
Food
Singer
Song
Sports team
Athlete
if i had a million dollars i would
what do you want to learn this year?
where did you go to school last year?
school would be better if:
after i graduate, i want to
one thing i want you to know about me is:
Should be Empty:

INTEREST SURVEY

because

because

TV Show