Middle School Student Assessment Questionnaire Form
Please complete the Middle School Student Assessment Questionnaire to help us understand your academic habits, classroom experience, and support needs.
Academic Study Habits
*
Rows
Never
Rarely
Sometimes
Often
Always
I complete my homework on time
1
2
3
4
5
I review my notes after class
6
7
8
9
10
I ask for help when I don’t understand
11
12
13
14
15
I manage my time effectively
16
17
18
19
20
How engaged do you feel during your classes?
*
Not engaged
1
2
3
4
Very engaged
5
1 is Not engaged, 5 is Very engaged
Which learning style do you prefer most?
*
Listening to lectures
Reading and writing
Hands-on activities
Group discussions
Other
How supported do you feel by your teachers?
*
1
2
3
4
5
How comfortable are you asking questions in class?
*
Very comfortable
Somewhat comfortable
Neutral
Somewhat uncomfortable
Very uncomfortable
Support Needed in Subjects
*
Rows
No support needed
Some support needed
A lot of support needed
Math
21
22
23
Science
24
25
26
English
27
28
29
Social Studies
30
31
32
Other
33
34
35
How would you describe your interactions with classmates?
*
Very negative
1
2
3
4
Very positive
5
1 is Very negative, 5 is Very positive
How satisfied are you with your overall school experience?
*
1
2
3
4
5
What is one thing that could improve your learning experience?
Are you interested in after-school academic support programs?
*
Yes
No
Maybe
Submit Assessment
Should be Empty: