The document contains a questionnaire for student Himadri Roy of class IX. It includes 10 questions about Himadri's experiences in the classroom, with teachers, and expressing himself. Students are asked to tick the option of "Yes", "No", or "Sometimes" that is most appropriate for each question. The questions cover topics like feeling shy, the teacher's behavior, responding to questions, feeling nervous, asking doubts, caring about others' opinions, being bullied, expressing opinions at home, fear of embarrassment, and ability to express themselves in different subjects.