Bounce Back Self-Assessment Questionnaire
|
Your confidential responses help us better serve you and other students. Thank you! PLEASE FILL IN ALL FIELDS | |
|---|---|
| Name | |
| W Number | |
| Phone Number | |
| PLEASE ANSWER THESE YES/NO QUESTIONS |
Yes |
No |
| Have you met with an academic advisor about the course requirements in your program? | ||
| Have you used WSU resources such as study skills seminars, tutoring, or study groups? | ||
| Has at least one employee at Weber State taken a particular interest in your success? | ||
| Do you plan to complete a bachelor's degree? | ||
| If so, have you declared your bachelor's degree major? |
| RATE FROM 1 TO 5 YOUR LEVEL OF AGREEMENT WITH THESE STATEMENTS (1= Disagree, 5=Agree) |
1 |
2 |
3 |
4 |
5 |
| My living environment makes studying difficult. | |||||
| My work responsibilities interfere with my school responsibilities. | |||||
| My friends and family encourage me to complete my college degree. | |||||
| I am confident I made a wise decision to attend collge. | |||||
| I find my school work stimulating. | |||||
| I know how to prepare for different types of exams (e.g., essay and multiple choice). | |||||
| While taking exams, I feel a high level of anxiety. |
PLEASE FILL IN THE BLANKS
| How many credits do you take during a typical semester? | |
| How many hours per week do you work during a typical semester? | |
| During a typical semester, how many hours to you study each week? |
|
RATE FROM 1 TO 5 YOUR LEVEL OF AGREEMENT WITH THESE STATEMENTS (1= Never, 5= Always) |
1 |
2 |
3 |
4 |
5 |
| Do you attend class? | |||||
| Do you participate during class? | |||||
| Do you use your syllabus as a guide to each course? | |||||
| Do you turn in your assignments? | |||||
| Do you keep track of points earned on assignments and exams so you know how you are performing in class? | |||||
| In class, is it easy for you to stay focused on learning? | |||||
| When you have questions about course material, do you talk to the instructor? | |||||
| When you miss a class, do you get a copy of the lecture notes from another student or the instructor? | |||||
| Do you read the chapter before you hear the corresponding lecture? | |||||
| While you read the course materials, do you take notes? | |||||
| While reading, do you mark or highlight your text? | |||||
| To better understand material you are reading, do you reflect on what you have just read? | |||||
| Do you take lecture notes that effectively prepare you for exams? | |||||
| How often do you study more than two days in advance for exams? | |||||
| Do you set up specific times each week to study? | |||||
| Do you spend enough time studying to be a successful student? | |||||
| When it comes to studying, are you organized? | |||||
| Do you successfully balance your social life and study time? | |||||
| Do you use a day planner/calendar to organize your daily responsibilites? |
What other questions about your studies should we ask in this academic self-assessment?
|
| |

