Student Survey

Student Name*
First Last
School Name*
Student Email*
Student Phone
I utilize good study habits for test and quizzes.*
1= Always | 2= Sometimes | 3= Uncertain | 4= Never
My parents (guardians) help me reach my educational goals.*
1= Always | 2= Sometimes | 3= Uncertain | 4= Never
I set goals on a weekly/monthly basis.*
1= Always | 2= Sometimes | 3= Uncertain | 4= Never
I am involved in extracurricular activities (sports, clubs, student, government).*
1= Always | 2= Sometimes | 3= Uncertain | 4= Never
I demonstrate good organizational/time management skills.*
1= Always | 2= Sometimes | 3= Uncertain | 4= Never
I dedicate 1-2 hours a day on homework.*
1= Always | 2= Sometimes | 3= Uncertain | 4= Never
I am able to avoid distractions on a daily basis.*
1= Always | 2= Sometimes | 3= Uncertain | 4= Never
I know how many service hours are needed to graduate.*
1= Always | 2= Sometimes | 3= Uncertain | 4= Never
I know how many credits I need to graduate.*
1= Always | 2= Sometimes | 3= Uncertain | 4= Never
I get rewards/punishments for doing something good/bad.*
1= Always | 2= Sometimes | 3= Uncertain | 4= Never
I know the structure and guidelines for passing standardized test in high school.*
1= Always | 2= Sometimes | 3= Uncertain | 4= Never
I know my future career and what it takes to get there.*
1= Always | 2= Sometimes | 3= Uncertain | 4= Never
I get good grades. (Mostly A's & B's)*
1= Always | 2= Sometimes | 3= Uncertain | 4= Never
I attend sports training activities and/or work during free time.*
1= Always | 2= Sometimes | 3= Uncertain | 4= Never

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