Gate Alumni / Student Questionaire

Name:

E-mail Address:

Date of Birth:
	Month	Day	Year

Participated in GATE Program in:	Elementary	Middle School
(Please check mark)

Elementary Schools Attended:

Middle Schools Attended:

High Schools Attended:

Year of Graduation from High School:

Needs Assessment Questionnaire

Rate 5 - If you STRONGLY AGREE with the statement

Rate 4 - If you AGREE SOMEWHAT with the statement

Rate 3 - If you are UNDECIDED

Rate 2 - If you DISAGREE SOMEWHAT with the statement

Rate 1 - If you STRONGLY DISAGREE with the statement

A. Looking back on my experiences in GATE, I feel that:
(Please select appropriate response)

1.	My research skills were enhanced by the program.
2.	My communication skills (oral and written presentations) were enhanced by the program.
3.	My ability to think for myself was enhanced by the program.
4.	My creative ability was enhanced by the program.
5.	The enrichment activities were interesting to me.
6.	My understanding of the needs of other people was enhanced by the program.
7.	Awareness of options for my personal choice of a career were enhanced by the GATE program.
8.	Missing some of my regular classes did not interfere with my learning.
9.	More time was needed for our GATE classes.
10.	Overall, participating in the GATE Program enhanced my education.

B. The skills that I found to be most important to me now are:

1.	Research
2.	Communication
3.	Ability to think for myself
4.	Creative ability
5.	My understanding of the needs of others

C. The GATE Program enhanced my life in the following areas:

D. The following space is for any additional comments you may wish to include:

The GATE Program would like to THANK YOU for taking some of your valuable time to complete the above.