ALPHA ACADEMY
Survey
Tutorials
This survey will be used to determine where students think they need help, and what
study skills the students currently possess.
Name:
Grade Level:
High School:
Please place an X in the box and write you answer on the line provided.
1. What is your strongest subject ?
2. What is your weakest subject?
3. How many times per week do you received tutoring in your weakest subject?
0 1 2 3 4 5
4. How often do you ask questions during a class period when you do not understand the
material presented by the teacher?
0 1-3 4-6 7-9 10-12
5. How often do you summarize your notes during the week?
0 1-3 4-6 7-9 10-12
6. How often per week do your parents help you with homework?
0 1-3 4-6 7-9 10-12
7. How many hours per week do you spend doing homework?
0 1-3 4-6 7-9 10-12
8. How often during the week, do you understand the lesson as the teacher presents it?
0 1-3 4-6 7-9 10-12
ALPHA ACADEMY
Survey
Computer/Internet Basics
This survey is used to measure the student’s interest in computers, if the students
currently use the internet, and if the students know what the internet is used for.
Name:
Grade:
High School:
1. Can you name the basic components of the computer? If yes, write your answer on the
line provided.
Yes No
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
2. Have you ever used Microsoft programs excel, word, power point, or access? If yes
which one have you used?
Yes No
________________________________________________________________________
________________________________________________________________________
3. Have you ever written and sent an electronic message?
Yes No
4. Do you know what the internet is and what it used for? If yes explain
Yes No
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
5. Does the school you attend have computers? If yes where are the computers located?
Yes No
________________________________________________________________________
6. How often do you use a computer during a week?
0 1-3 4-6 7-9 10-12
7. Do you have a computer at home?
Yes No
ALPHA ACADEMY
Survey
College Awareness
This survey will be used to see how aware the students are about college and the criteria
needed to attend a university.
Name:
Grade:
High School:
1. Do you plan on attending a college or university upon graduating from high school? If
yes where?
Yes No
2. Have you ever discussed attending a college or university with you guidance
counselor?
Yes No
3. Does your school conduct a career day?
Yes No
4. Are your parents college graduates?
Yes No
5. How many people in your family have graduated from a college or university?
0 1-3 4-6 7-9 10-12
6. Have you ever visited a college or university?
Yes No
ALPHA ACADEMY
Survey
Career Exploration
This survey is used to determine if the student’s know what the leading careers are in
America and what the requirements are to enter each career.
Name:
Grade:
High School:
1. Do you plan on attending a college or university after high school? If yes which
university?
YES NO _____________________
2. Have you ever been required to write a reach paper or article on careers in America?
YES NO
3. Can you list the top ten careers in America and Charlotte, in terms of highest paid
salary and greatest number of workers in the field?
4. List 5 careers you would like to enter upon graduating from high school or college.
5. What are your parents present job/career?
ALPHA ACADEMY
Survey
End of Grade Prep
Name:
Grade:
High School:
No Survey Needed
ALPHA ACADEMY
Survey
Read to Lead
This survey is used to determine what reading material the students would be interested
in.
Name:
Grade:
High School:
1. How many books(non-fiction, fiction, biography, auto-biography), do you read during
the month?
0 1-3 4-6 7-9 10-12
2. How many books(non-fiction, fiction, biography, auto-biography), do you read during
per year?
0 1-3 4-6 7-9 10-12 Other ______
3. What is your favorite book?
________________________________________________________________________
4. What is your favorite magazine?
________________________________________________________________________
5. How often do you read the newspaper during the week?
0 1-2 3-4 5-6 7
6. How often do you visit a library and check out a book during the year?
0 1-3 4-6 7-9 10-12
ALPHA ACADEMY
Survey
Financial Management
This survey is used to measure the student’s knowledge on basic financial matters.
Name:
Grade:
High School:
1. Do you know what a budget is?
Yes No
2. Do your parents give you an allowance on a monthly or weekly basis?
Yes No
3. Are you required to take an economics or business math class?
Yes No
4. Have your parents ever discussed budgeting with you?
Yes No
5. Have you ever had to develop a finical plan?
Yes No
6. Do you have a checking/savings account?
Yes No
ALPHA ACADEMY Survey
Project Alpha
Name:
Grade:
High School:
No Survey Needed
ALPHA ACADEMY Survey
Leadership Development Conference
This survey is designed to see what leadership ability the students posses and what
opportunity they have had to be leaders.’
Name:
Grade:
High School:
1. Do you participate in sports at your school?
YES NO
2. If you participate in sports which one do u participate in?
________________________________________________________________________
3. Do you participate or volunteer in your community?
YES NO
4. Are you a member of a club at your school? If yes which one?
YES NO
________________________________________________________________________
5. Is there a JROTC program at your school? If yes are you apart of the program?
YES NO
______________________________________________________
ALPHA ACADEMY
Survey
Dressing for Success
This survey is used to understand what the student knowledge is on formal and semi-
formal dress.
Name:
Grade:
High School:
1. Are you required to take a health course at your high school?
Yes No
2. How often during the week do you do physical training?
Yes No
3. Do you know how to tie a Windsor knot ?
Yes No
4. Do you know how to tie a bowtie?
Yes No
5. Do you know the difference between formal and semi-formal attire?
Yes No
ALPHA ACADEMY
Survey
Leadership Ropes Course
This survey is used to gage the student’s leadership ability and their ability to work as a
team member.
Name:
Grade:
High School:
NO SURVEY NEEDED
ALPHA ACADEMY
Survey
Dining Etiquette
This survey is used to measure the student’s knowledge on how to react in different
social and dinning settings.
Name:
Grade:
High School:
1. Do you know how to set a table for a formal dinner?
YES NO
2. Do you know the different utensils that can be used for a formal table setting? If yes
name them.
YES NO
________________________________________________________________________
________________________________________________________________________
3. Do you know which glass to use first? If yes which one?
YES NO
________________________________________________________________________
4. Do you know what fork to use first? If yes which one?
YES NO
________________________________________________________________________
5. Do you know when to place your napkins on your lap? If yes explain?
YES NO
________________________________________________________________________
6. Do you know what percentage of the bill should be included as a tip? If yes explain.
YES NO
________________________________________________________________________
7. Should you start eating before everyone at the table is served?
YES NO
ALPHA ACADEMY
Survey
Black History Month
This survey will measure the student knowledge on basis black history information.
Name:
Grade:
High School:
1. Are you required to take a black history class? If yes which year are you required to
take the class?
YES NO
________________________________________________________________________
2. Does your school conduct a black history program during black history month?
YES NO
3. What decade did the civil rights movement take place?
1940’s 1950’s 1960’s 1970’s
4. Is affirmative action legal in the United States?
YES NO
5. Have African American’s always had the right to vote in America?
YES NO
6. Do you know who Rosa Parks is? If yes what is she most famous for?
YES NO
________________________________________________________________________
7. Do you know who Dr. Martin Luther King is? If yes what is he most famous for?
YES NO
________________________________________________________________________
ALPHA ACADEMY Survey
Levine Museum of the New South/Afro American Culture Center
This survey is used to measure the student’s knowledge of students what is offered at the
different museum in Charlotte.
Name:
Grade:
High School:
NO SURVEY needed