Name: __________________
Date: ___________________
Period:__________________
Student Interest Survey
1. The three things I do best in school are:
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
2. Some of the things that I would like to work on this year are:
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
3. The grade that I want to earn in math class is __________________________
4. Outside of school, my favorite activities are:
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
5. The clubs, organizations, or private lessons I participate in are:
_____________________________ __________________________________
_____________________________ __________________________________
6. My favorite sport is: _______________________________________________.
7. My three favorite books are:
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
8. When I grow up, I want to be a ______________________________________.
Name: __________________
Date: ___________________
Period:__________________
8. If I could choose between watching television (or movies), playing on the
computer, or playing sports, I would choose _____________________________
because ____________________________________________________________.
9. The person whom I most admire is ___________________________ because
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
10. The languages that I speak are: ____________________________________
___________________________________________________________________
___________________________________________________________________.
11. Some of the chores or responsibilities that I have are: __________________
___________________________________________________________________
___________________________________________________________________.
12. Three of my friends are: ___________________________________________
___________________________________________________________________
___________________________________________________________________.
13. When I am with my friends, we like to _______________________________
___________________________________________________________________
___________________________________________________________________.
14. Something about me that I would like to share with you is ______________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________.
