CHAPTER I
Appendix 3c (author MS Agnieszka Laskowska)
Interview with a student
Student's name: ……………………………………………, Class: ………………….
Date and place of birth: ………………………………………………………………………
No.
1. Question
I am brought up by...
I live with…
2. Phone number
3. Student's address
4. Mother's address
5. Father's address
6. Living conditions
7. Mother's workplace
8. Ftaher's workplace
9. The guardian's
workplace
10. Other
Student's answer
Just mother
Just father
Mother and father
Foster family
Other: ………………………………….
The tool gives a specific information about the student. The tool makes the conversation with
the student clear and easy. The tool can be used at the beginning of the school year in order
to verify the information we already have.