我和老师——小学生学习情况调查

亲爱的小朋友：下面有一些关于你和老师平时相处的小问题。请你想一想自己是不是这样，选一个最像你的笑脸选项。这些问题没有对错，只是想知道你的真实想法。你的回答只用来做研究，不会被打分，也不会告诉同学，请放心填写哦！

Below are some questions about you and your teacher. Tick ✔ the face that is most like you.

There are no right or wrong answers. Your answers are only for research — not graded, not shared with classmates.

请按照下面步骤要求生成你的专属小密码。每一次填写，都使用同一个密码。
Make your code in 3 steps as follow. Write the SAME code every time when you fill in the survey.

① 姓的第一个拼音字母（大写）。 例：郭 填写为 G
Write First letter of your family name(CAPITAL). e.g. 郭 can be written as G
② 出生年月，共6位数字（月份是一位数时前面加0）。 例：2016年5月 填写为 201605
Your birth year and month, 6 digits (add 0 for one-digit months). e.g. May 2016 can be written as 201605
③ 班级代码（不确定可以问老师）。 例：3班 填写为 03；15班 填写为 15
Class code (ask teacher if you are not sure). e.g. class 3 can be written as 03; class 15 can be written as 15

我的完整密码为：①-②-③：G-201605-03
1.
你的完整密码为My code：①-②-③：______
2. 请填写填写日期date：______ 年Year  ______月Month  ______日day
3. 你的性别是：
Your gender:
4. 本次是你第几次填写本问卷: This is your ____ time to fill the questionnaire:
请选择
作答说明：每一道题有4个选项，请你选最符合你的那一个，每个描述都想一想你和老师平时相处的情况，按这句话是不是像你来选择。

Each question has 4 choices. Tick ✔ the one that fits you best.Think about you and your teacher. Choose how much each one is like you.

5. 老师对我要求很严格。
My teacher is strict with me.
6. 老师经常让我帮忙管班级里的事。
My teacher often lets me help with class jobs.
7. 老师对我总是很温柔、很有耐心。
My teacher is always kind and gentle to me.
8. 我回答问题时，不管对还是错，老师都会告诉我。
When I answer, my teacher tells me if I am right or wrong.
9. 老师常常推荐我去参加活动或比赛。
My teacher often recommends me to join activities or contests.
10. 我在课上表现好的时候，老师会表扬我。
When I do well in class, my teacher praises me.
11. 老师会用鼓励的眼神看着我，让我回答问题。
My teacher looks at me kindly to help me answer questions.
12. 老师相信我能完成比较难的作业。
My teacher believes I can do hard work.
13. 我回答问题的时候，老师会看着我的眼睛。
My teacher looks at my eyes when I answer questions.
14. 我的作业常常得到老师的表扬。
My teacher often praises my schoolwork.
15. 我答不出或答错的时候，老师总是批评我。
When I get the answers wrong, my teacher always criticizes me.
16. 老师一直支持我参加活动和比赛。
My teacher always supports me in activities and contests.
17. 上课时，老师常常请我起来回答问题。
My teacher often asks me to answer questions in class.
18. 我答不出来的时候，老师会再给我讲一遍这道题。
When I am stuck, my teacher explains the question to me again.
19. 我回答问题的时候，老师会微笑着看着我。
My teacher smiles at me when I answer questions.
20. 在学习和生活上，老师经常鼓励我。
My teacher often encourages me.
21. 我能感觉到，老师对我有很高的期望。
I always feel my teacher has very high expectations for me.
22. 我答错的时候，老师会告诉我错在哪里、怎么改。
When I make a mistake, my teacher shows me how to fix it.
23. 我答不出来的时候，老师会给我小提示，帮我答出来。
When I am stuck, my teacher gives me hints until I can answer.
24. 你还有什么想对老师说的话，可以写在这里哦。
Do you have more to say to your teacher? You can write them down.
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