Data Entry Template
Student Survey
Record # 1 2 3 4 5 6 7 8 9
1. TV Questions
every day x x x x x x
several times a week x x x
about once a week
sometimes
never
2. 1st favorite TV show trl sports sports simpsons south park simpsons whose line simpsons csi
center center is it
anyway?
2nd favorite TV show navy ncis fear factor fear factor x-men sports king of the seinfeld that '70s survivor
center hill show
3rd favorite TV show simpsons american american malcolm viva la futurama sports blue torch er
idol idol in the bam center
middle
3. Movie Questions
every day
several times a week
about once a week
sometimes x x x x x x x x x
never
4. Video Questions
every day
several times a week x x x
about once a week x x x x x
sometimes x
never
5. 1st favorite movie/video collateral hellboy hellboy saving grind 2 fast 2 italian job almost school of
damage private furious famous rock
ryan
2nd favorite movie/video super spiderman spiderman saving scary how high matrix detroit emperor's
troopers silverman movie 3 rock city new
groove
3rd favorite movie/video gangs in new slapshot 1 slapshot super jeepers just ace old school italian job
york troopers creepers married ventura:
2 pet
detective
Data Entry Template
Student Survey
6. Magazine Questions
every day x
several times a week x x
about once a week
sometimes x x x x
never x x
7. 1st favorite magazine espn si si p8nt si motox 2 si trans ski racing
extreme world
snowboar
ding
2nd favorite magazine people car & car & face full hunter lax espn
driver driver (lacross)
3rd favorite magazine si video si for kids si people skating rolling
game stone
8. Newspaper Questions
every day x x x
several times a week
about once a week x x x x
sometimes x x
never
Favorite newspaper section sports sports sports sports sports funnies sports politics sposrts
9. Currently reading book
yes x x x
no x x x x x x
Title of current book read stuck in stuck in stuck in
neutral neutral neutral
10. 1st favorite book soldier boys hatchet hatchet hatchet raptor bfc1 golden stuck in harry
corpses neutral potter
series
2nd favorite book hardy boys raptor raptor brian's foster's silver eyes hades harry chicken
winter war factor potter soup
books
Data Entry Template
Student Survey
3rd favorite book snapshot indian in indian in brian's bad no more moby dick jp;es
the the return beginning dead dogs
cupboard cupboard
11. Favorite Biography
yes x x x
no x x x x x x
Title of biography wayne travis knots in
gretsky henry my yoyo
string
12. Check books out of school library
every day
several times a week
about once a week x
sometimes x x x x x x
never x x
13. Check books out of public library
every day
several times a week
about once a week
sometimes x x x x
never x x x x x
14. Computer at home
yes x x x x x x x x x
no
Room computer is in? living room parents mom & my room, bedroom living my room bedroom, living
bedroom dad's basement room kitchen, room
bedroom living
room
15. Web connection at home (yes/no)
yes x x x x x x x x x
no
16. Web use at home
every day x x x x x x x
several times a week x x
about once a week
sometimes
never
Data Entry Template
Student Survey
17. Web use at school
every day
several times a week
about once a week x x
sometimes x x x x x x x
never
18. Web use at public library
every day
several times a week
about once a week
sometimes x
never x x x x x x x x
19. Web or book preference for research
web x x x x x x x x x
book
Why? e e e f e,f faster & f f e
more
options
20. Most frequent computer use
chat x x x x x x
email x x x
games x x x x x x x
music x x x x x x
research for school x x
word processing x video
editing
other paintball
stuff
21. Careers or jobs that interest students
1st career police officer hockey sports sports basketball mechanic athlete architect chef
marketing player
Data Entry Template
Student Survey
2nd career bounty coach game architectur baseball electrician actor pro small
hunter tester e player lacross business
(lax) owner
3rd career hockey trainer for coach swat sports motox pro architect architect
sports coach
22. Information sources about jobs
family member x x x x x x
friend x x x x x x
public library x x x x x
school counselor x x
school library x x
teacher x x x x x
web sites x x x x x x x x x
other
23. Grade
six (6)
seven (7)
eight (8) x x x x x x x x x
24. Gender
female
male x x x x x x x x x
25. Ethnicity
Black
Hispanic
Native American
White x x x x x x x x x
Other
Data Entry Template
Student Survey
10 11 12 13 14 15 16 17 TOTALS
x x x x 10
x x x x 7
0
0
0
simpsons stargate everwood crank swan 7th friends american
sg-7 yankers heaven idol
spongebo csi csi south park american newlywed george ed,edd n'
b idol s lopez eddy
power real world pimp my fear factor real world hope & fear factor
rangers road rules ride faith
challenge
0
0
x 1
x x x x x x x 16
0
x 1
x 4
x x x x x x 11
1
0
old school harry whole ten pirates of elf finding beauty dirty
pottter yards the nemo and the dancing
series caribbean beast
power pirates of major matrix happy uptown (?) lion king runaway
rangers the payne trilogy gilmore bride
caribbean
ace final honey freaky pirates of cheaper
ventura destinatio Friday the by the
n2 caribbean dozen
Data Entry Template
Student Survey
1
x x 4
x x 2
x x x x 8
2
daily si people ym ym 17 rolling teen
bread stone people
teen us m teen cosmo girl ym GL
people people
mad horse lucky j-14 teen lacross people
illustrated
x 4
0
x 5
x x x 5
x x x 3
comics sports marketpla living comics/livi local,
ce ng/real state
estate
x x x x x 8
x x x 9
lord of the angels & among princess
flies demons the diaries 5
betrayed
wolf rider lotr where the outsider to kill a princess
red fern mockingbi diaries
grows rd series
hatchet harry freak the blood trail long way all
potter mighty fro american
chicago girl
Data Entry Template
Student Survey
holes red wall angels & harry marvins walk two
demons potter magic moons
medicine
x x 5
x x x x x x 12
diary of sasha
anne cohen
frank
0
0
x 2
x x x x 10
x x x 5
0
0
x 1
x x x x x 9
x x 7
x x x x x x x x 17
0
family dining basement roommate living computer kitchen living
room room, 's room room room room
spare
bedroom
x x x x x x x 16
x 1
x x x x x x x 14
2
0
0
0
Data Entry Template
Student Survey
0
x 1
x 3
x x x x x x 13
0
0
0
0
x 2
x x x x x x x 15
x x x x x x x 16
x 1
e, takes f,e f more info e f because e 0
less time you can
highlight
what you
want to
print
x x x x x x x x 14
x x x x 7
x x x x 11
x x x 9
x 3
x x x 4
pro volley zoology vet pro skater teacher teacher
ball
Data Entry Template
Student Survey
teacher, architect fashion doctor meteorolo
phys ed designer gist
computer csi crime pro soccer pilot day care
game scene teacher
maker investigat
or
x x x x x 11
x x x 9
x x 7
x x 4
x x 4
x x 7
x x x x x x 15
x x x 3
0
0
x x x x x x x x 17
x x x x x x 6
x x 11
0
0
0
x x x x x x x x 17
0