FOR MORE, go to www.brookespublishing.com/just-give-him-the-whale
eSample Student Survey
Early Elementary Students
FOR MORE, go to www.brookespublishing.com/just-give-him-the-whale
ABOUT ME
Draw a picture of yourself doing something you love.
What do you do for fun?
___ Play with friends
___ Play on the computer/play video games
___ Play with my pet(s)
___ Read books
___ Make art projects
___ Ride my bike/play outside
___ Play sports
___ Other: ____________________________________________________
What is your favorite part of the school day?
___ Reading/language arts
___ Physical education (PE)/gym
___ Math
___ Art
___ Social studies
___ Music
___ Science
___ Recess
“Just Give Him the Whale!”: 20 Ways to Use Fascinations, Areas of Expertise, and Strengths to Support Students with Autism,
by Paula Kluth and Patrick Schwarz. Copyright © 2008 Paul H. Brookes Publishing Co. All rights reserved.
FOR MORE, go to www.brookespublishing.com/just-give-him-the-whale
What are your talents? (Choose one or more.)
___ Drawing/art
___ Sharing
___ Building things
___ Playing sports
___ Taking care of animals
___ Singing/dancing
___ Telling stories
___ Collecting things
___ Playing music
___ Making friends
___ Helping others
___ Telling jokes
___ Cooking
___ Pretending
___ Doing magic tricks
___ Other: _____________________________________________
Draw a picture of a fun day at school.
“Just Give Him the Whale!”: 20 Ways to Use Fascinations, Areas of Expertise, and Strengths to Support Students with Autism,
by Paula Kluth and Patrick Schwarz. Copyright © 2008 Paul H. Brookes Publishing Co. All rights reserved.
FOR MORE, go to www.brookespublishing.com/just-give-him-the-whale
eSample Student Survey
Late Elementary
and Secondary Students
FOR MORE, go to www.brookespublishing.com/just-give-him-the-whale
ABOUT ME
What words describe you best?
What hobbies do you have?
What do you want to learn this year?
What is your favorite part of the school day?
“Just Give Him the Whale!”: 20 Ways to Use Fascinations, Areas of Expertise, and Strengths to Support Students with Autism,
by Paula Kluth and Patrick Schwarz. Copyright © 2008 Paul H. Brookes Publishing Co. All rights reserved.
FOR MORE, go to www.brookespublishing.com/just-give-him-the-whale
What is your favorite thing to do at school?
What are your talents or areas of expertise (e.g., karate, babysitting, collecting bugs,
drawing)?
What else do you want me to know about you?
“Just Give Him the Whale!”: 20 Ways to Use Fascinations, Areas of Expertise, and Strengths to Support Students with Autism,
by Paula Kluth and Patrick Schwarz. Copyright © 2008 Paul H. Brookes Publishing Co. All rights reserved.