This interest survey was created with the idea of starting a conversation between the teacher and the student. The first page focuses on keeping up with the students' data such as MAP scores, reading level scores, and their grades for your class. The second part of the first page is to help the students focus on their goals for the class. This is to help create a dialogue with the students to help them create realistic and reachable goals for your class. The second page focuses on asking the students' interests with simple yes or no questions and a few open ended questions.
By keeping all the information together the teacher has a go to page to check on how the students are performing in class while also having a go to sheet with the students' interest and data to help guide your lesson planning throughout the year.