1. Student Interest Survey
Name___________________________________Pd.______________
1. The three things that I do best in school are:
1.___________________________________________________________________
2.___________________________________________________________________
3.___________________________________________________________________
2. Some of the things that I would like to work on this year are
_____________________________________________________________________
_____________________________________________________________________
3. I would like to learn more about_____________________________________________
_______________________________________________________________________
_______________________________________________________________________
4. Outside of school, my favorite activity is______________________________________
_______________________________________________________________________
5. My hobbies are_________________________________________________________
_______________________________________________________________________
6. The clubs, organizations or private lessons that I participate in are __________________
_______________________________________________________________________
7. My favorite sport is _____________________________________________________
8. The person that I consider to be a hero is ______________________________________
because_______________________________________________________________

2. 9. I have traveled to _____________________________________________________
10. If I could pick a place to travel to, I would choose______________________________
_____________________________________________________________________
11. Some of the chores and responsibilities that I have at home are __________________
_______________________________________________________________________
_________________
12. Three of my friends are: _______________________________________________
____________________________When I am with my friends we like to ______________
______________________________________________________________________
13. Something about me that I’d like to share with you is____________________________
_______________________________________________________________________
14. What I like most about school is ___________________________________________
15. What I like least about school is ____________________________________________
16. I wish the teacher would let me choose _______________________________________
_______________________________________________________________________
17. I am really good at ____________________________________________________
18. Three words to describe myself are ________________________________________
19. I need some extra help with _______________________________________________
20. In the classroom I behave _________________________________________ because
_______________________________________________________________________