This is a simple survey that is helpful to check-in with students and see where they're at. I give it as part of my handouts during the first week of class.
It asks them to check-in about their
-english class in general (their weakest / strongest of the evaluation bins)
-what teachers have done in the past to help them
-pet peeves they've had in their past English classes (their answers to this are always VERY enlightening and helpful!!)