questionnaire

Do any of you ever give a first day questionnaire to your students? I am teaching new courses in the fall, one that will have repeaters, several that will have weaker math students, similar to those I've been teaching (but older).

I am thinking of asking them their strengths and weaknesses, what they do well, what they need help with, what their goals after high school are.

Does anyone have a questionnaire they want to share?