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Student Goals Survey
Please complete the following questions, below.
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First Name:
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Your answer
Last Name:
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Your answer
OSIS Number:
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Your answer
Home phone number:
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Your answer
Parent cell-phone number:
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Your answer
How would you rate your confidence in passing all of the required regents?
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Very Low
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5
Very High
How would you rate your confidence in passing all of the required classes?
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Very Low
1
2
3
4
5
Very High
What are your educational goals after high school?
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Your answer
What barriers might get in the way of accomplishing your goals?
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Your answer
What kind of supports do you think you need to help you accomplish your goals?
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Your answer
What can you do to help reach your goals?
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Your answer
What is your career goal?
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Your answer
What college would you like to attend?
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Your answer
What do you see yourself doing in the next 5-10 years?
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Your answer
How do you plan to get to where you want to be 5-10 years from now?
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Your answer
What hobbies, interests, recreation activities, do you have that you could transfer into a career?
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Your answer
What are your most successful classes? Why do you think you are successful in these classes?
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Your answer
What are your most difficult classes? Why do you think you're experiencing difficulty?
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Your answer
What support would assist you in being more successful in your classes?
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Your answer
I learn the most when I....
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Your answer
Is there anything else you would like me to know about you to help you prepare for your future?
Your answer
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