Extracurricular Interest Electives Survey Form
Please indicate your interest in the extracurricular electives offered. Your feedback will help us plan and improve our programs.
Full Name
*
First Name
Last Name
Grade Level
*
Please Select
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Which extracurricular electives are you interested in? (Select all that apply)
*
Art Club
Drama/Theater
Music/Band
Debate
STEM/Robotics
Sports (please specify sport below)
Community Service
Language/Culture Club
Other
If you selected 'Sports', which sport(s) are you interested in?
How interested are you in participating in extracurricular electives this year?
*
1
2
3
4
5
Please indicate your level of interest in each of the following areas.
*
Rows
Not Interested
Somewhat Interested
Very Interested
Arts
1
2
3
STEM/Technology
4
5
6
Sports
7
8
9
Leadership
10
11
12
Community Service
13
14
15
How important are extracurricular electives to your overall school experience?
*
Not Important
1
2
3
4
Extremely Important
5
1 is Not Important, 5 is Extremely Important
What new extracurricular elective would you like to see offered?
Additional comments or suggestions
Submit Survey
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