This questionnaire is designed to assess some of the elements important for college success. Please take a few minutes to complete this form. Your answers will guide us in recommending the appropriate service for you. *Required Fields
*Name:
Phone:
*Email:
Major:
What is your current year in school? Sophomore Junior Senior Other
What are your educational goals?
What are your career goals?
Class Schedule
Course (eg: CS215) Instructor's Last Name Expected Grade
Learning Habits
How much time do you spend studying for your courses? days per week hours per day.
What kinds of responsibilities outside of classes may affect your studies?
Work Hobbies Sports
Family Other
If other, please specify:
How much time do you spend on them?days per weekhours per day.
Where do you study?
Learning Styles
People learn in various ways. The more you know about how you learn, the greater your chances for success. The purpose of this section is to help you become more aware of your learning style.
More About Learning
I learn best: by seeing by hearing by doing
My best class is/was:
Why?
I like my favorite instructor because:
The study techniques I use are:
My greatest strength as a student is:
Study Skills
An important part of college success is how you study and manage your assignments.
Please describe any tutoring or learning assistance experiences that you have received in the past:
Thank you for completing this survey.