Student Information Survey

Mrs. Falk

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please contact the creator of the quiz.

Answer the questions below and then click "submit" to send your answers.

  1. What is your name? (First and Last)
  2. Your answer:


  3. Do you have a nickname you prefer to be called?
  4. Your answer:


  5. What period do you have my class?
  6. Your answer:


  7. What language(s) do you speak at home?
  8. Your answer:


  9. What is your favorite subject in school? Why?
  10. Your answer:


  11. Do you play a sport or have another extra-curricular activity you like to do? If so, which one?
  12. Your answer:


  13. What is your favorite TV show?
  14. Your answer:


  15. What is your favorite radio station?
  16. Your answer:


  17. What is your favorite color?
  18. Your answer:


  19. What is your favorite food?
  20. Your answer:


  21. Do you have Internet access at home?
  22. Your answer:


  23. In the past, I have liked science:
  24. Your answer:
    A lot
    A medium amount
    A little
    I would rather eat worms than take another year of science!


Name:

Full email address:

Class:

NOTE TO THE STUDENT: If the answers are sent successfully, you will see another page come up in the web browser. If you don't see this page, it is possible that an error occurred during transfer and you should either resubmit your answers or notify your instructor.


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