ࡱ> 463 bjbj 4$ 38I],z.dddJddddd4VVVdVdVVt<: J0z,z<ddVdddddVdddzddddddddddddd : Student Interest Inventory Name: Birthdate: I was born in _____________________________________________________ City State Country Parent(s)/ Guardian(s) Name(s): Home number: Work number: Parents Email: Sports: My favorite to watch is: My favorite to play is: At my school, I play: Arts: My favorite type of art to create is: I play this instrument: Free Time: My favorite things to do on the weekend are: My favorite things to do after school are: Entertainment: My favorite television show is: My favorite movie is: My favorite type of music is: General: The thing I like most about myself is: The thing I like least about myself is: The thing I do best is: The thing I do the worst is: Family and Home: I have these types of pets: I have this many _____ brothers and _____ sisters: I am the oldest, middle or youngest child: (circle one) I usually go to bed at this time: I have these chores to do at home: I work this many hours per week at a job: Homework: I like to do homework: Yes No I like to eat when I study : Yes No I like to listen to music when I study: Yes No Background noise bothers me when I study: Yes No Classroom: These two rules are important to me in a classroom: 1. 2. School: I like to read on my own: Yes No My favorite book is: My favorite subject is: My least favorite subject is: I need to be told to stay on task often, sometimes, or never: (circle one) I prefer working with a partner, in small groups, or by myself: (circle one) I work harder when I know I will be graded: Yes No I am comfortable asking for help when I need it: Yes No (circle one) I pay attention in class best when I sit up front sit in the back it does not matter where I sit My geometry teachers name: I received this grade in Geometry: I liked this best about Geometry: I liked this least about Geometry: This is what I want to be when I grow up: Overall I like school Yes No Learning Style Inventory Circle the TWO numbers that best describe you I LIKE words. I am sensitive to sounds, structures, meanings, and functions of words. I enjoy storytelling, writing, reading, jokes, puns and riddles. I LIKE numbers. I can easily pick up on numerical patterns. I can easily complete calculations in my head. I like step-by-step instructions. I LIKE images or pictures. I sometimes daydream and I have artistic, designer, or inventive qualities. I LIKE music. I appreciate musical expression such as rhythm and melody. Music can make me animated or calm me. I LIKE to be physical and hands on. I am good at athletics. I LIKE to be around people. I like to teach others and can read other peoples moods, temperaments, and motivations. I LIKE solitary activities. I understand my feelings and I am self-motivated and strong willed. I LIKE nature. I can pick up on patterns in nature. I enjoy being outdoors. I like studying science topics. 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