Back to School Questionnaire

June 8, 2011


Name: ___________________________________________________

Address: _________________________________________________

Age: _____________

Contact No.: __________________________

Admitted in Grade: __________

1. What was the name of your previous school?


2. What was the chief cause that forced you to leave school?


3. What motivated you now to rejoin school?


4. When you left the previous school? (Mention the year)


5. Why you chose this school now?


6. How you came to know about this school?

a. From friends

b. From relatives.

c. Other sources. Please specify ____________________________

7. What are your hobbies?


8. How many brothers and sisters do you have?


9. With whom do you stay?


10. What is the occupation of your father?


11. What is the occupation of your mother?


12. Who is your role model?


13. What language do you speak at home?


14. Are you in touch of any of your friends from the previous school? If yes, please provide details about your closet friend.

a. Yes

b. No

15. What are your expectations from this school?


16. Where do you want to see yourself after 10 years from now?


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