Comprehensive High School Transition Survey Page 5
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7Circle the places you go regularly in your community:
Work
Bowling
Library
Movie
Grocery shopping
Pool
Health club
Post Office
Laundromat
Parks
Mall
Plays
Museums
Concerts
Church
Sporting events
Court house
Job service
Dentist
Doctor
Community Ed. & Rec.
Boy Scouts
Girl Scouts
FFA
4-H
Other:
Circle all the modes of transportation you use to get around in the community:
Parents/relatives car
Drive self
Walk
Bike
Car-pooling with friends
Friends car
Taxi
Bus
Circle the appointments that you make yourself:
Hair
Doctor
Dentist
Other:
None
Do you keep appointments that you or someone makes for you?
YES
/
NO
If you can’t make it to an appointment, do you call and let them know?
YES
/
NO
Do you know how to use a pay phone?
YES
/
NO
RECREATION & LEISURE
FUTURE ADULT GOAL: After high school, in my free time, I would like to:
List your hobbies?
Do you enjoy reading for fun?
YES
/
NO
Circle the things you enjoy reading:
Newspaper
Magazine
Novel Books
Where did you go and what did you do on your last vacation?
YES
/
NO
Have you helped plan a vacation?
YES
/
NO
If yes, where?
What do you like to do when you have free time alone?
What do you like to do when you have free time with friends?
What do you like to do when you have free time with family?
Circle the places you go for fun:
Mall
Out to eat (restaurants)
Movies
Gym
Sporting events Other:
List the sports you enjoy watching:
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Parent category: Life