The person appears to be a/an Middle Eastern Male, approximately 10 to 19 years old.
Sure! Here’s a simple survey template you can use: 

1. How would you rate your understanding of the topic discussed in class? (1 = Poor, 5 = Excellent)
2. What aspects of the topic did you find most interesting?
3. Do you think we should explore this topic further? (Yes/No)
4. Any additional comments or suggestions?

Feel free to modify the questions to better fit your needs!
Here's a simple survey you can use to gather opinions from your classmates about their favorite hobbies. Please rate each hobby on a scale of 1 to 5, where 1 means 'Not Interested' and 5 means 'Very Interested':

1 = Not Interested
2 = Somewhat Interested
3 = Neutral
4 = Interested
5 = Very Interested

1. Sports
2. Video Games
3. Music
4. Art
5. Reading