Name

Date

Grade 8 7 6 other

Age (when completing this form) 16 15 14 13 12 11 other

What did you like and dislike about Technology class? Like Dislike

What did you like and dislike about Art class? Like Dislike

What did you like and dislike about Computer class? Like Dislike Didn't take Computer this year

What did you like and dislike about Music class? Like Dislike

What did you like and dislike about Home and Careers class? Like Dislike

List the jobs/chores that you do or have done in the following locations. Home: School: Church: Paid jobs: Other:

For the jobs that you listed above, describe what you liked or disliked

What do you enjoy about school?

What is the hard part about school?

What school activities are you involved in? (List them)

What do you do with your spare time?

What are your hobbies?

Which of the following would you rather work (or play) with? Explain why. people animals things

What kind of job do you think you would like to do when you are done with schooling?

What do you think you have to do to prepare for this type of work?

What are the things you do best? (Things you are really good at)

What things are hard for you to do?

Do you have any disabilities or medical conditions? No Yes (Explain or describe your disabilities or medical conditions)

Who are the five most important people in your life?

From the list of people you listed above, what jobs do they have?

Do you have a bank account? Yes No

Do you know how to ride the public bus? Yes No

Do you know how to get a taxi? Yes No

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