Q.1
What is your name? *


Q.2
Enter an email address Ms. Juengel can use to email you regarding homework assignments. *

Q.3
Enter your cell phone number.

If Ms. Juengel has your cell phone number, she is more likely to call you before calling your parents.


Q.4
Do you own a TI-84 graphing calculator? *

Q.5
Do you have vision problems/do you need to sit in the front so you can see? *

Q.6
Please list all of you after school activities and obligations. (For example - work, soccer, sibling care, etc). *

Q.7
What grade would you like to earn in Ms. Juengel's class? *

Q.8
What supports do you think will help you be successful in this math class? *

Check all that apply.

Q.9
Rank the following subjects from your most favorite to your least favorite. *
  • English
  • Math
  • Science
  • Social Studies

Q.10
Please rate how much you agree with the statement, "I enjoyed math class in _________________." *
Strongly Disagree Disagree Neutral Agree Strongly Agree
Elementary school
Middle School
High School

Elementary school

Middle School

High School

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