Student Questionare

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Name Class Date

Address Birth date

Phone ( )

Grade in School

List your schedule for this year:

Period 1 Period 2 Period 3

Period 4 Period 5 Period 6

Period 7 Period 0 Other____________________________

You do you live with?

Their Occupation Occupation

• • Do you have any health-related problems that I should be aware of in terms of safety when working in this lab/shop?

• • List any industrial technology courses you have completed or are now taking (i.e. woodshop, welding, metals, Power Tech, automotive, drafting, etc.)

• • List any activities you plan to or have participated in this year. (i.e. sports, clubs, extracurricular, etc.)

• • What are your hobbies?

• • Do you have a job? If so, what is it?

• • List machines/hand tools you have used in school or at home.

• • Why did you take this course? What are your expectations?

• • What do you see yourself doing in 10 years?