Gender: F M Age: _____ Grade: 9 10 11 12
1. What courses are you currently taking? List all
___________ ___________ ____________ ____________ ____________
2. What was your last average?
a. < 50 b. 50-59 c. 60-69 d.70-79 e. 80-89 f. 90-95 g. >95
3. How many hours do you spend studying weekly?
a. <5 b. 5-9 c. 10-14 d. 15-20 e. 20<
4. Do you have siblings? Yes No
5. Are they pressured about their marks from society in general? Yes No
6. Do your parents have high expectations from you regarding your education? Yes No
7. Do you care more about your parents' expectations or your own choices?
Parents 1 2 3 4 5 Own
Expectations Choices
8. Has education always been important in your family? Yes No
9. If you are an immigrant, was one of the main reasons for immigrating to gain access to better education? Yes No
10. How important is education to you? 1 being the least important and 5 being extremely important.
Least 1 2 3 4 5 Most
11. Have you ever felt pressured over your marks by someone? Yes No
12. If yes, who did you get the pressure from? (Mark all that apply)
a. Parents b. Teachers c. Peers d. Siblings e. Other:_______
13. Rate your stress level towards your education
Low 1 2 3 4 5 High
14. Do you work better by
a. procrastinating b. planning ahead
15. Have you ever thought of dropping out? Yes No
______________________________________________________________
Thank You!😳
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