Beginning of Year Questionnaire
This survey will help me get to know you better as well as keep some important information about you on file. None of this information is visible to other students. Please complete the entire questionnaire.
* Required
What is your first name?
What is your last name?
What grade are you?
*
6th
8th
What period do you have PE?
*
Per 1
Per 3
Per 4
Per 5
Per 6
Per 7
What is the email address you use to receive mails.
*
What is your mother's (guardian's) name?
What is your mother's (guardian's) email?
What is your father's (guardian's) name?
What is your father's (guardian's) email?
What is your home number?
What is one additional number you can be reached?
*
Who's number is it? For example, Mom's cell phone 408-555-5JUD
Do you have access to a computer at home?
*
Yes
No
If you have a computer at home, what platform do you have?
*
Do you have a Mac or PC?
Mac
PC
Do you have internet access at home?
*
Yes
No
Do you have access to a printer at home?
*
Yes I have a printer at home
No I do not have access to a printer after school hours
Do you have any injuries/health conditions I need to know about?
Do you have injuries that will prohibit you from performing in class, please indicate here.
What are you favorite sports/physical activities?
How many hours of physical activity do you participate in a week?
*
1-5 hours
6-10 hours
10 or more hours
Do you like Physical Education?
*
Love it
Like it
Not really