Learner Analysis Survey
Learner Analysis Survey
Demographics
1. Indicate your race:
__Caucasian __African-American __Hispanic __Other, please name________
2. Indicate your gender: __Male __Female
2. Do you eat free or reduced lunch? __Yes __No
3. How old are you? ____
4. Have you ever repeated a grade? Yes No
If yes, what grade(s)? ___________
Entry Skills and Prior Knowledge
1. Name the two parts of a sentence.
______________________
______________________
2. List three ways to correct a run-on sentence.
_________________________________________
_________________________________________
_________________________________________
3. Identify the four sentence structures.
________________________
________________________
________________________
________________________
Circle the subject and underline the verb(s) in the sentences below:
4. The movers lost several valuable items.
5. My parents called the company for a refund.
Academic Motivation
Please rate the following items based on your beliefs about yourself and your behavior in
classes. Your rating should be on a 5 point scale where 1=not at all true of me to 5
=very true of me.
____1. I prefer class work that is challenging so I can learn new things.
____2. Compared with other students in this class I expect to do well.
____3. I like what I learn in language arts.
____4. I expect to do very well in my language arts class.
____5. Compared with others, I think I’m a good student.
____6. I think that what I am learning in school is useful for me to know.
____7. Compared with other students in class I think I know a great deal about the
subject.
____8. I know that I will be able to learn the material for this class.
____9. Understanding language arts is important to me.
____10. Learning about sentence structure is important to me.
____11. Using sentences correctly when writing is important to me.
____12. Identifying sentence structures will help me perform well on the CRCT.
____13. Meeting the standards on the CRCT is important to me.
____14. Meeting the standards on the Eighth Grade Writing Assessment is important to
me.
____15. I work hard to get a good grade even when I don’t like a class