Name____________________________DOB__________Age______Phone #_______________
Address_______________________________________________________________________
1. Ten words that describe you:
___________________________________________________________________________
___________________________________________________________________________
2. How do you spend your free time?_______________________________________________
3. What is your favorite thing to do? _______________________________________________
4. Hobbies? ___________________________________________________________________
5. Sports?_____________________________________________________________________
6. Crafts?_____________________________________________________________________
7. Favorite TV Show: ____________________________________________________________
8. Favorite book or magazine: ____________________________________________________
9. Do you have any pets? ________________________________________________________
10. Qualities you like in an adult: ___________________________________________________
11. What do you wish teachers would notice about you?
___________________________________________________________________________
12. What do you want to be when you grow up? ______________________________________
13. What short term goals do you have for yourself?
___________________________________________________________________________
14. What long term goals do you have for yourself?
___________________________________________________________________________
15. How do you feel about school?__________________________________________________
16. What is your favorite subject in school? ___________________________________________
17. What is your favorite part about learning? ________________________________________
18. What do you want to learn HOW to do? _________________________________________
19. What are you looking forward to studying in Science? _______________________________
20. Do you have internet access at home? _______
Finish the sentence:
1. I work best in a classroom that is ________________________________________________
2. When I get mad, I ___________________________________________________________
3. I really need help with ________________________________________________________
4. I wish ______________________________________________________________________
5. The funniest thing ____________________________________________________________
6. I am proud that ______________________________________________________________
7. Today I feel very ____________________________________________________________