Student Survey Form - Maplewood Career Center

Select 5 teachers:

Instructions:

For windows: Hold down the control (ctrl) button to select multiple teachers

For Mac: Hold down the command button to select multiple teachers

Full Name:

Date:

Favorite Subject:

Least Favorite Subject:

Best Subjects:

What Subjects Are Difficult for You:

Rate the following topics according to your interests. (1 = very interested, 2 = somewhat interested, 3 = not interested)

Dance:

Music:

Drama:

Sports:

Writing:

Math:

Computers:

Science:

Social Studies:

Business:

Languages:

Politics:

What are your favorite games or sports?

If you could learn about anything you wanted to, what would you choose to learn about?

What are three things you like to do when you have free time?

What clubs, groups, teams, or organizations do you belong to?

Have you ever taught yourself to do something without the help of another person? If so, what?

If you were going to start a book club, what kinds of books would your club read?

If people were to come to you for information about something you know a lot about, what would the topic be?

If you could plan a field trip for learning, where would you go?

When you’re using the computer, are you usually playing games, doing homework, doing research, visiting Web sites, visiting chat rooms, shopping, exchanging email, programming, or some other activity?

If you could interview an expert on any subject, what subject would you like to talk to someone about?

What careers are you currently interested in?

In school, I prefer to work:
Alone
With one other person
In a small group
In a larger group

In school, I learn best:
Alone
With one other person
In a small group
In a larger group

What helps you learn? (For example, a hands-on activity, reading, taking notes, or reading out loud.)

What makes learning more difficult for you? (For example, lectures, lots of writing.)

Think of a great teacher you’ve had. Describe what made this teacher so terrific.

What else would you like me to know about you as a learner?

The modality (learning channel preference) questionnaire reproduced here is by O’Brien (1985). To complete, read each sentence carefully and consider if it applies to you. On the line in front of each statement, indicate how often the sentence applies to you, according to the chart below. Please respond to all questions.

1	2	3
Never applies to me.	Sometimes applies to me.	Often applies to me.

I enjoy doodling and even my notes have lots of pictures and arrows in them.

I remember something better if I write it down.

I get lost or am late if someone tells me how to get to a new place, and I don’t write down the directions.

When trying to remember someone's telephone number, or something new like that, it helps me to get a picture of it in my mind.

If I am taking a test, I can "see" the textbook page and where the answer is located.

It helps me to look at the person while listening; it keeps me focused.

Using flashcards helps me to retain material for tests.

It's hard for me to understand what a person is saying when there are people talking or music playing.

It's hard for me to understand a joke when someone tells me.

It is better for me to get work done in a quiet place.

My written work doesn't look neat to me. My papers have crossed-out words and erasures.

It helps to use my finger as a pointer when reading to keep my place.

Papers with very small print, blotchy dittos or poor copies are tough on me.

I understand how to do something if someone tells me, rather than having to read the same thing to myself.

I remember things that I hear, rather than things that I see or read.

Writing is tiring. I press down too hard with my pen or pencil.

My eyes get tired fast, even though the eye doctor says that my eyes are ok.

When I read, I mix up words that look alike, such as "them" and "then," "bad" and "dad."

It's hard for me to read other people's handwriting.

If I had the choice to learn new information through a lecture or textbook, I would choose to hear it rather than read it.

I don't like to read directions; I'd rather just start doing.

I learn best when I am shown how to do something, and I have the opportunity to do it.

Studying at a desk is not for me.

I tend to solve problems through a more trial-and-error approach, rather than from a step-by-step method.

Before I follow directions, it helps me to see someone else do it first.

I find myself needing frequent breaks while studying.

I am not skilled in giving verbal explanations or directions.

I do not become easily lost, even in strange surroundings.

I think better when I have the freedom to move around.

When I can't think of a specific word, I'll use my hands a lot and call something a "what-cha-ma-call-it" or a "thing-a-ma-jig."

Visual Score:

Auditory Score:

Kinesthetic Score

Student Interest Survey

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Student Interest Survey

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