Portfolio draft of the questionnaires for students

Chapter I, Part 3 …………………………………………..

School’s seal

………………………………… …………………………………

School’s full name

Student’s Individual Sheet

Surname: ………………………………………………………………………………………

Names: ………………………………………………………………………………………….

Date and place of birth: ………………………………………………………………………

PESEL ………………………………………, Nationality: .……………………………….

Address: ……………………………………………………………………

Mother’s name and family name: ……………….…………., Father’s name: ………………………..

Parents’ address: ……………………………………………………….

The student has been admitted to school in (year)……………………………………………., Class ……………………. Student’s register number …………………….

Chapter I

Appendix 1a - „Hello”

I want to tell you,

I have got

that I

………………………….

……………………………..

My name is ………...

I like ………………….

I am …………………

Chapter I

Appendix 1b. Student’s worksheet concerning his/her family.

STUDENT’S WORKSHEET Topic: "My family"

1. Write down the words that come to your mind when you think about a family. Then establish the definition of “family”.

FAMILY A family is: ................................................................................................................................ ....................................................................................................................................................... .............................................................................................................................................

2. Write the feelings and doings of your family members that create a pleasant atmosphere.

Stay within the shape of the house.

3. Write inside the rectangle the name of a family member and his/her house chores.

4. Draw a picture of your family.

Chapter I

Appendix 1b. A survey about your family situation: Who are you? – Let’s get to know each other. (Author: Mrs. A. Laskowska)

Read the survey and write your answers in the intended place or mark the answer by writing „x” in the correct space. Thank you.

1. My name is ……………………………………………………………………………..

2. I was born on (day) …….. (month) …….. year ….., in (birthplace)…………………………..

3. I live in …………………………, Street: ……………………………………….

Me, my family, my home (Mark the answers with X) 1. Do you have any siblings?

 Yes

2. If you have any siblings, how many?

1

2

3

3. Do you have your own room?

 No 4

 Yes

5  No

4. If you marked “No” in question No 3, say who you share the room with.  My siblings 5. I live with:

 Mom and dad

 My parents

 Mom and her boyfriend

 Just mom

 My grandparents

 Another relative

 Just dad

 Grandparents

Dad and his girlfriend

 In a school dormitory

Other: …………………………………………………………………………….

6. If I have some free time just for me at home, I have homework to do or I just want to rest I  Have a place at home where I can be alone, it is …………………… Don’t have a place where I can be alone at home 7. Mark the answer you agree with: I like my home and my family

 I don’t like my home and my family

 I would like some things changed at home and in my family

The above survey is meant to recognise the family situation and the conditions the students meet at their homes. The answers given by the students will make it possible to assess whether the pupils have the possibility to study, to develop and to rest at home.

If the student answers “Other” to question No 5 or “I don’t like my home and my family” to question 7, the teacher should talk to the pupil individually to recognise his/her family situation. After the interview with the student, it is advised to talk to the parents as well.

Chapter I

Appendix 1c. My strengths and my weaknesses – worksheet.

The balance of your strengths and my weaknesses will make it possible for you to assess your abilities, dispositions and interests. In the future, it will help you to prepare a good CV, a cover letter or present yourself during a job interview.

Chapter I

Appendix 1d. Survey on your interests and hobbies. (Author: Mrs Ilona Stasiołek) Survey

Read the survey and write your answers in the intended place or mark the answer by writing „x” in the correct space. Thank you.

Name: …………………………………..............................., Class/Form: …....................

1. You are:

 10 – 12 years old

 13 – 16 years old

 More than 16 years old

2. Do you have any hobbies, interests, passions?

 Yes

 No

3. What is your hobby?

 Sports

Music

 Travelling Photography

Dancing

 Media (TV, Internet, etc.)

 Art or manual classes

 Foreign languages  I don’t have a hobby

 Science

 Other: …………………………………………………………………………………………

4. Finish the sentence:

I broaden my hobbies, interests and passions through:  Participating in the classes at Cultural Centres Internet and TV

School

 Specialised books and magazines

 Training

Extra classes

 Trips

 Work or apprenticeship

 I don’t have any hobbies

 Other: ……………………………………………………………………………………….

5. Since when do you share your passion?

 A year or less

 2-3 years

4-5 years

6. How often do you spend time on your hobby?

 Once a week

 2 to 5 times a week

 Only during summer or winter  Several times a year

 Once a year  Never

 More (how long?) …………..  Every day

7. Do your hobbies affect your grades?

Yes, I get better grades  A little

 I’m not interested in my grades or progress

 Yes, I get worse grades

 I work hard to be as good as before and still have time for my hobbies.

8. Do you associate your future with your hobby?

 Yes

 Just one of them

 I haven’t thought about it yet.

 No

9. Do you attend any classes, workshops or meetings to develop your passion?

 Yes

Sometimes

 No

10. What extra classes do you attend?

A sports club

A band

 Dancing school

 Trips, excursions, travels  Photography club  Extra classes in my school subjects  I do not attend any extra classes.

 Art workshops

 Language school

Other: ………………………………………………………………………………………..

11. Do your parents/legal guardians approve of your hobby?

 Yes

 One of them does

 No, they are against it

Chapter I

Appendix 1e. My aims and achievements – worksheet.

REALISTIC

AIM

DETAILED

PUNCTUAL

TOLERABLE

MEASURABLE

AMBITIOUS

Chapter I

Appendix 1f. Am I tolerant? – Survey.

Read the survey and write your answers in the intended place or mark the answer by writing „x” in the correct space. Thank you.

1. Do you think you are tolerant? Yes Rather yes No Rather no No opinion 2. What is “tolerance”?  Accepting some features of other people Accepting people the way they are  Accepting only the people who are just like us 3. Do you think our society is tolerant? Too tolerant Very tolerant Tolerant Intolerant 4. Where do we learn to be tolerant?  At school In a family On the street Doing sports At church 5. Are foreigners who speak their own language in a public space a problem to you?  Yes, because I don’t understand them. They should speak my language.  Yes, I don’t like foreigners  Yes, because I can’t talk to them in a difficult situation  No, I’m glad they want to visit my country  No, because everyone should be able to speak any language, whenever and wherever they want  No, every country should be friendly for other people  No opinion 6. Do you think that a foreigner holding an important office in your country is a good idea?  Yes, he/she can have innovative ideas Yes, he/she can have different experience No, he/she doesn’t know our country No, because the citizens will not accept it  No opinion 7. What is your religion?  Atheist Catholicism  Protestantism Islam 8. Would you be able to make friends with someone who professes another religion? Yes Rather yes No Rather no No opinion 9. Do you tolerate people with different skin colour? Yes Rather yes No Rather no No opinion 10. Would you be able to make friends with someone who has different skin colour? Yes Rather yes No Rather no No opinion 11. Do you accept mixed marriages (in terms of religion)? Yes Rather yes No Rather no No opinion 12. Do you tolerate homosexual couples? Yes Rather yes No Rather no No opinion 13. Should homosexual couples have the possibility to legalise their relationship?

Yes Rather yes No Rather no No opinion 14. Should homosexual couples have the possibility to adopt children? Yes Rather yes No Rather no No opinion 15. Do you sometimes criticise other people? Yes Sometimes No 16. What do you think makes it difficult to be tolerant?  Race Religion Language Culture Social status Education Age Other: ………………………………….

Chapter II

Appendix 1a „Me in the class”

Imagine that the person in the centre is you.

You are encircled by three circles; they are for your classmates. It is up to you who you are going to place in the circles.

The people who are the closest are your most trusted friends. You willingly spend time with them and you have a lot of things to talk about together.

The classmates that you put in the second circle are the people you know, but they are not close to you and they are not too important for you.

The third circle is for people you don’t know or don’t like.

Think carefully and write the names/nicknames of your classmates in the circles.

Appendix 1a: „Me in the class�

In the picture there is a tree. Look carefully at the people who are on the tree: they are resting, playing alone; there are leaders and people who stay in pairs or small groups, etc.

Try to find the person who resembles you the most and colour him or her. If you want to, you can label other people with the names of your classmates correspondingly to their behaviour or position in the group.

THE PICTURE OF OUR CLASS 1. Choose and mark with an X one of the mentioned below statements that describes your

position in your class, take notice of your relationship and contact you have with your classmates.

 I trust my classmates, I’m a reliable person as well and my friends know it.

 Almost everyone is good-natured. I often talk to them about my problems and successes.

 There are people in my class that I trust and I can talk to them about things that are important to me.

 There are only a few people I can talk to but I don’t trust them completely. They have let me down before.

 The people are reserved. I don’t trust others (I’m not talking about myself only. Other people do not trust the class as well).

2. Read the statements mentioned below carefully. Choose and mark with an X the one that describes the situation in your class (think about the bonds among your classmates).

 The people get on well and they stick together.

 The class is divided into two groups. Sometimes they like each other, sometimes they don’t.

 Everyone is in some group and they stay in touch only with the people from that specific group. The subgroups like/don’t like each other

 “Everyone on his/her own…” – There is no long-lasting friendship in our class, only shortterm relationships occur. Everyone can rely on himself/herself only.

 One person is out of our group. He or she is a leader, a top student or someone disliked by

others – he or she is always alone.

Chapter II

Appendix 1e: How do I organise my free time? – A student’s survey.

My free time The survey is anonymous and it is about the forms of activities you take up in your spare time.

Read the questions carefully and mark honest answers with an X. 1. Sex: ♀ ………………………………… ♂……………………………….

2. How much free time do you have on a normal school day?

1 – 2 hours

3 – 4 hours

4 – 5 hours

More than 5 hours

3. How much free time do you have at the weekend?

1 – 2 hours 3 – 4 hours 4 – 5 hours

More than 5 hours

4. What do you do in your free time? (You can mark more than one answer).

I rest I broaden my I have fun; I I spend time I spend time passions, hobbies. play. with my family. with friends.

5. How often do you…

Watch TV? Read books/magazines/articles?

Do sports?

Work on your interests, hobbies?

Meet your friends?

Do shopping?

Play computer games?

Surf the Internet?

Go to the cinema?

Go to the theatre?

Go for a walk?

I don’t know how to spend my free time.

Never

Rarely

Often

Very often

6. Who do you spend your free time with?

With my family

With my schoolmates

With my siblings

With my neighbours

Alone

7. How often do you travel with your parents (summer holidays, weekends, holidays, winter break)?

One a year 2-3 times a year 4 – 6 times a year I don’t travel with my parents.

8. Would you like to spend more time with your parents?

Yes No

Hard to say.

Thank you.

Games!!!

Race against time

To complete this task you need to have a sheet of paper and a pen.

You have max 3 minutes to complete the tasks mentioned below!

GOOD LUCK!!!

1. Read all the commands carefully before you do anything.

2. Write your name and surname in the upper-right corner of the paper.

3. Draw four squares in the upper-left corner of the paper.

4. Write an X inside every square.

5. Draw a circle around each and every square.

6. Underline the first command.

7. Divide 50 by 12.50 on the back of the sheet of paper and write the quotient in the bottomleft corner.

8. If you completed all the tasks shout: “I did it!”

9. On the back of the paper, draw quickly what a bike seen from above looks like.

10. Look carefully at your picture and mark it from 1 to 5.

11. On the back of the sheet of paper sum up the numbers 167 and 273

12. Check the time on your watch and write it in the bottom-left corner (next to the quotient).

13. Underline all the even numbers that appear in this game.

14. If you have reached this point shout “I’m the best!”

15. Write the whole alphabet on the back.

16. What’s the 15th letter of the alphabet?

17. Write today’s date in the upper-right corner.

18. Add up all the numbers from the date and write the sum next to this question.

19. Shout loudly “Almost done!”

20. When you have finished reading all the commands, do only tasks number 1 and 2.

„Everything we do or take up, every thought and every talent in us are like bricks – it is up to us whether we use them to build walls that will separate us from other people and from love or to build bridges that will make it possible to go and to find people, to cross a rapid river and to enable other people to come to us…” „A story about hope” by Agnieszka Kozak