Beginning of Class Questionnaire.

                    Please fill out this questionnaire ASAP after enrolling in the class.  You must include your full name and have comments in the comments box to get credit as well as correct information.  Thank you.

    Enter Last Name, First Name:  Class and CRN:   [Make a Selection] Summer Physical Science 12 CRN 50459 Summer Physical Science 12 CRN 50460 Fall Chemistry 2A CRN 70841 Fall Chemsitry 2A CRN 70842 Fall Chemistry 2A CRN 70843 Fall Chemistry 2A CRN 70844 Fall Chemistry 2A CRN 70845

   1.  What is your major? [Make a Selection] Chemistry Physics Biology Engineering PreMed Geology Animal Science Psycology Nursing Liberal Arts (Teaching) Business/Accounting Computer Related Other  
    (If "Other" was selected please indicate major in comments section.)

   2.  What level are you in your college education? 
   New Student      Freshman (not new student)      Sophmore      Junior      Senior

   3.  Mark all that apply?

   Work Part-time        Work Full-time      Married       Have Children       Full-Time Student

   4.  Please select the best answer to the following questions:

        1) Who do you feel is most responsible for your success in class? Select one of the following. Instructor Parents You College
        2)  Do you think you can be successful in this class?  Select one of the following. Yes Maybe No
        3)  Do you leave things to do until the last minute Select one of the following. Always Sometimes Seldom Never
        4)  How carefully do your read or listen?  Select one of the following. generally I daydream a lot carefully and precisely I sometimes misunderstand
        5)  How much time do you usually spend doing homework?  Select one of the following. very little some amount of time whatever I can get by with as much as I need to master the subject
        6)  When facing a difficult task, normally you Select one of the following. give it a try, maybe give up easily put forth some effort keep at it until I succeed .
        7)  Do you like to solve riddles, sudokus, or other types of puzzles?  Select one of the following. Yes Sometimes Not usually
        8)  Do you like to draw, paint or create artistic work?  Select one of the following. Yes Sometimes No
        9)  How do you usually look at problems?  Select one of the following. All at once A little at a time
        10)  How would you describe your work?  Select one of the following. Chaotic and random The fastest and easiest way I can find I scribble a few things down. neat and orderly
        11)  How do you like to study?  Select one of the following. by myself while watching TV only where it is quiet with others in small groups
        12)  When you are stuck in an assignment or class, what do you usually do?  Select one of the following. try something new stay with the same old approach just say, I do not understand!
        13)  When you find yourself in trouble in a class or any situation, what do you usually do?  Select one of the following. lie down, starve to death and die call 911 get help put it off until later

   4.  Please include any comments, special needs, conditions, accommodations, goals, or any problems related to the class.
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