I love parts of this survey...I'd definitely add some of the questions to a beginning of the year fact sheet about my students (aka: the Facebook profile page idea that I love!) and keep them all in a binder to reference!!!
A quick survey to get to know your students. Use it at the beginning of the school year, after breaks, or open house and meet the teacher nights. If you get to meet your students before the next school year, this would be helpful too!
Students bring to school interests in particular areas. School also offers the opportunity for students to realize new interests. Thus, highly effective teachers attend both to developing interests and as yet undiscovered interests in their students. (Tomlinson chapter 1, page 3) I like the idea of students telling me how they feel about different subjects. I hope that this information will help me to deepen students interests as well as help them discover new interests.