Student Motivation Survey
Name of your school:
Gender
Female
Male
Which grade are you in?
8th
9th
10th
11th
12th
In the past month, how often did you miss school?
Never
A day
3-5 days
More than 6 days
How were your grades last year?
Mostly A's
Mostly B's
Mostly C's
Mostly D's
Mostly E/F's
How do you feel about your school?
Dislike
1
2
3
4
Very like
5
1 is Dislike, 5 is Very like
Do you participate in activities outside of school?
Yes
No
How often do you attend events outside of school?
Not at all
A few times in a year
Once or twice in a week
Three or more times a week
Please tick the option you think is best
Never
Sometimes
Often
Very Often
Asked questions in class or contributed to class discussions
1
2
3
4
Came to class without completing readings or assignments
5
6
7
8
Worked with other students on projects during class
9
10
11
12
Worked with classmates outside of class to prepare class assignments
13
14
15
16
Talked about career plans with a school member or advisor
17
18
19
20
Received prompt feedback from school on your academic performance
21
22
23
24
Submit
Should be Empty: