Math Anxiety Workshop Course Survey

1. Default Section

Question Title

* 1. In the textboxes, please provide the following information:
Your Name: First Last
The section # and semester (example: Sec 2410, Sum 2008)

Your Name:

Section Number:

Semester:

Question Title

* 2. I think the following class will have _________(choose one) on

	a huge impact	a big impact	some impact	maybe a little impact	no impact
my success in my math class	my success in my math class a huge impact	my success in my math class a big impact	my success in my math class some impact	my success in my math class maybe a little impact	my success in my math class no impact
my success in school/other classes	my success in school/other classes a huge impact	my success in school/other classes a big impact	my success in school/other classes some impact	my success in school/other classes maybe a little impact	my success in school/other classes no impact
my success in life	my success in life a huge impact	my success in life a big impact	my success in life some impact	my success in life maybe a little impact	my success in life no impact
my success on the job	my success on the job a huge impact	my success on the job a big impact	my success on the job some impact	my success on the job maybe a little impact	my success on the job no impact
my self esteem	my self esteem a huge impact	my self esteem a big impact	my self esteem some impact	my self esteem maybe a little impact	my self esteem no impact
my motivation	my motivation a huge impact	my motivation a big impact	my motivation some impact	my motivation maybe a little impact	my motivation no impact
my level of responsibility	my level of responsibility a huge impact	my level of responsibility a big impact	my level of responsibility some impact	my level of responsibility maybe a little impact	my level of responsibility no impact
the way I approach coursework	the way I approach coursework a huge impact	the way I approach coursework a big impact	the way I approach coursework some impact	the way I approach coursework maybe a little impact	the way I approach coursework no impact
my time management	my time management a huge impact	my time management a big impact	my time management some impact	my time management maybe a little impact	my time management no impact
my ability to set goals	my ability to set goals a huge impact	my ability to set goals a big impact	my ability to set goals some impact	my ability to set goals maybe a little impact	my ability to set goals no impact
my awareness of college programs	my awareness of college programs a huge impact	my awareness of college programs a big impact	my awareness of college programs some impact	my awareness of college programs maybe a little impact	my awareness of college programs no impact
understanding myself	understanding myself a huge impact	understanding myself a big impact	understanding myself some impact	understanding myself maybe a little impact	understanding myself no impact
feeling more in control of my future	feeling more in control of my future a huge impact	feeling more in control of my future a big impact	feeling more in control of my future some impact	feeling more in control of my future maybe a little impact	feeling more in control of my future no impact

Other (please specify)

Question Title

* 3. I would rate this class as a(n) _____________ (choose one) for

	mandatory class	excellent choice	good choice	fair choice	waste of time	no comment
first year college students	first year college students mandatory class	first year college students excellent choice	first year college students good choice	first year college students fair choice	first year college students waste of time	first year college students no comment
Students struggling with Math	Students struggling with Math mandatory class	Students struggling with Math excellent choice	Students struggling with Math good choice	Students struggling with Math fair choice	Students struggling with Math waste of time	Students struggling with Math no comment
Math Anxious students	Math Anxious students mandatory class	Math Anxious students excellent choice	Math Anxious students good choice	Math Anxious students fair choice	Math Anxious students waste of time	Math Anxious students no comment
most students	most students mandatory class	most students excellent choice	most students good choice	most students fair choice	most students waste of time	most students no comment
students on probation	students on probation mandatory class	students on probation excellent choice	students on probation good choice	students on probation fair choice	students on probation waste of time	students on probation no comment

Other (please specify)

Question Title

* 4. Now that I've taken this class, I am

Question Title

* 5. Please be honest in evaluating me. YOUR ANSWER HAS NOTHING TO DO WITH YOUR GRADE IN CLASS! I want to improve my teaching by understanding if I am meeting your needs as a student.
Rank the following about me and the class.

	Strongly Agree	Agree	Average/Neutral	Disagree	Strongly Disagree	No Opinion	Does not apply
Objectives of the course are clear	Objectives of the course are clear Strongly Agree	Objectives of the course are clear Agree	Objectives of the course are clear Average/Neutral	Objectives of the course are clear Disagree	Objectives of the course are clear Strongly Disagree	Objectives of the course are clear No Opinion	Objectives of the course are clear Does not apply
Objectives and what is taught match each other	Objectives and what is taught match each other Strongly Agree	Objectives and what is taught match each other Agree	Objectives and what is taught match each other Average/Neutral	Objectives and what is taught match each other Disagree	Objectives and what is taught match each other Strongly Disagree	Objectives and what is taught match each other No Opinion	Objectives and what is taught match each other Does not apply
I know how my work will be evaluated	I know how my work will be evaluated Strongly Agree	I know how my work will be evaluated Agree	I know how my work will be evaluated Average/Neutral	I know how my work will be evaluated Disagree	I know how my work will be evaluated Strongly Disagree	I know how my work will be evaluated No Opinion	I know how my work will be evaluated Does not apply
Mrs. B is concerned with student progress	Mrs. B is concerned with student progress Strongly Agree	Mrs. B is concerned with student progress Agree	Mrs. B is concerned with student progress Average/Neutral	Mrs. B is concerned with student progress Disagree	Mrs. B is concerned with student progress Strongly Disagree	Mrs. B is concerned with student progress No Opinion	Mrs. B is concerned with student progress Does not apply
Mrs. B gives help when needed	Mrs. B gives help when needed Strongly Agree	Mrs. B gives help when needed Agree	Mrs. B gives help when needed Average/Neutral	Mrs. B gives help when needed Disagree	Mrs. B gives help when needed Strongly Disagree	Mrs. B gives help when needed No Opinion	Mrs. B gives help when needed Does not apply
Mrs. B uses class time effectively	Mrs. B uses class time effectively Strongly Agree	Mrs. B uses class time effectively Agree	Mrs. B uses class time effectively Average/Neutral	Mrs. B uses class time effectively Disagree	Mrs. B uses class time effectively Strongly Disagree	Mrs. B uses class time effectively No Opinion	Mrs. B uses class time effectively Does not apply
Mrs. B is prepared for each class	Mrs. B is prepared for each class Strongly Agree	Mrs. B is prepared for each class Agree	Mrs. B is prepared for each class Average/Neutral	Mrs. B is prepared for each class Disagree	Mrs. B is prepared for each class Strongly Disagree	Mrs. B is prepared for each class No Opinion	Mrs. B is prepared for each class Does not apply
Mrs. B uses examples or illustrations to help make things clear	Mrs. B uses examples or illustrations to help make things clear Strongly Agree	Mrs. B uses examples or illustrations to help make things clear Agree	Mrs. B uses examples or illustrations to help make things clear Average/Neutral	Mrs. B uses examples or illustrations to help make things clear Disagree	Mrs. B uses examples or illustrations to help make things clear Strongly Disagree	Mrs. B uses examples or illustrations to help make things clear No Opinion	Mrs. B uses examples or illustrations to help make things clear Does not apply
I feel free to ask questions in this class	I feel free to ask questions in this class Strongly Agree	I feel free to ask questions in this class Agree	I feel free to ask questions in this class Average/Neutral	I feel free to ask questions in this class Disagree	I feel free to ask questions in this class Strongly Disagree	I feel free to ask questions in this class No Opinion	I feel free to ask questions in this class Does not apply
Mrs. B shows a personal interest in this subject matter	Mrs. B shows a personal interest in this subject matter Strongly Agree	Mrs. B shows a personal interest in this subject matter Agree	Mrs. B shows a personal interest in this subject matter Average/Neutral	Mrs. B shows a personal interest in this subject matter Disagree	Mrs. B shows a personal interest in this subject matter Strongly Disagree	Mrs. B shows a personal interest in this subject matter No Opinion	Mrs. B shows a personal interest in this subject matter Does not apply
Mrs. B inspires my confidence in her knowledge of the subject matter	Mrs. B inspires my confidence in her knowledge of the subject matter Strongly Agree	Mrs. B inspires my confidence in her knowledge of the subject matter Agree	Mrs. B inspires my confidence in her knowledge of the subject matter Average/Neutral	Mrs. B inspires my confidence in her knowledge of the subject matter Disagree	Mrs. B inspires my confidence in her knowledge of the subject matter Strongly Disagree	Mrs. B inspires my confidence in her knowledge of the subject matter No Opinion	Mrs. B inspires my confidence in her knowledge of the subject matter Does not apply
I can contact Mrs. B for help	I can contact Mrs. B for help Strongly Agree	I can contact Mrs. B for help Agree	I can contact Mrs. B for help Average/Neutral	I can contact Mrs. B for help Disagree	I can contact Mrs. B for help Strongly Disagree	I can contact Mrs. B for help No Opinion	I can contact Mrs. B for help Does not apply
Mrs. B has office time (Summer and Winter only or Does Not Apply)	Mrs. B has office time (Summer and Winter only or Does Not Apply) Strongly Agree	Mrs. B has office time (Summer and Winter only or Does Not Apply) Agree	Mrs. B has office time (Summer and Winter only or Does Not Apply) Average/Neutral	Mrs. B has office time (Summer and Winter only or Does Not Apply) Disagree	Mrs. B has office time (Summer and Winter only or Does Not Apply) Strongly Disagree	Mrs. B has office time (Summer and Winter only or Does Not Apply) No Opinion	Mrs. B has office time (Summer and Winter only or Does Not Apply) Does not apply
The instructor is accomplishing the objectives of the course	The instructor is accomplishing the objectives of the course Strongly Agree	The instructor is accomplishing the objectives of the course Agree	The instructor is accomplishing the objectives of the course Average/Neutral	The instructor is accomplishing the objectives of the course Disagree	The instructor is accomplishing the objectives of the course Strongly Disagree	The instructor is accomplishing the objectives of the course No Opinion	The instructor is accomplishing the objectives of the course Does not apply
I would take a different class with this instructor	I would take a different class with this instructor Strongly Agree	I would take a different class with this instructor Agree	I would take a different class with this instructor Average/Neutral	I would take a different class with this instructor Disagree	I would take a different class with this instructor Strongly Disagree	I would take a different class with this instructor No Opinion	I would take a different class with this instructor Does not apply
The instructor inspired me to work hard to learn	The instructor inspired me to work hard to learn Strongly Agree	The instructor inspired me to work hard to learn Agree	The instructor inspired me to work hard to learn Average/Neutral	The instructor inspired me to work hard to learn Disagree	The instructor inspired me to work hard to learn Strongly Disagree	The instructor inspired me to work hard to learn No Opinion	The instructor inspired me to work hard to learn Does not apply
I worked hard enough just to get a passing grade	I worked hard enough just to get a passing grade Strongly Agree	I worked hard enough just to get a passing grade Agree	I worked hard enough just to get a passing grade Average/Neutral	I worked hard enough just to get a passing grade Disagree	I worked hard enough just to get a passing grade Strongly Disagree	I worked hard enough just to get a passing grade No Opinion	I worked hard enough just to get a passing grade Does not apply
The class had an average amount of work	The class had an average amount of work Strongly Agree	The class had an average amount of work Agree	The class had an average amount of work Average/Neutral	The class had an average amount of work Disagree	The class had an average amount of work Strongly Disagree	The class had an average amount of work No Opinion	The class had an average amount of work Does not apply
The class didn't have enough work	The class didn't have enough work Strongly Agree	The class didn't have enough work Agree	The class didn't have enough work Average/Neutral	The class didn't have enough work Disagree	The class didn't have enough work Strongly Disagree	The class didn't have enough work No Opinion	The class didn't have enough work Does not apply
The homework helped me to understand the material	The homework helped me to understand the material Strongly Agree	The homework helped me to understand the material Agree	The homework helped me to understand the material Average/Neutral	The homework helped me to understand the material Disagree	The homework helped me to understand the material Strongly Disagree	The homework helped me to understand the material No Opinion	The homework helped me to understand the material Does not apply
Mrs. B inspired me to stay in school	Mrs. B inspired me to stay in school Strongly Agree	Mrs. B inspired me to stay in school Agree	Mrs. B inspired me to stay in school Average/Neutral	Mrs. B inspired me to stay in school Disagree	Mrs. B inspired me to stay in school Strongly Disagree	Mrs. B inspired me to stay in school No Opinion	Mrs. B inspired me to stay in school Does not apply
Mrs. B made me feel like dropping out of school	Mrs. B made me feel like dropping out of school Strongly Agree	Mrs. B made me feel like dropping out of school Agree	Mrs. B made me feel like dropping out of school Average/Neutral	Mrs. B made me feel like dropping out of school Disagree	Mrs. B made me feel like dropping out of school Strongly Disagree	Mrs. B made me feel like dropping out of school No Opinion	Mrs. B made me feel like dropping out of school Does not apply

Things you did/didn't like or anything else you think would improve the class, your understanding, or the way I teach:

Question Title

* 6. How likely are you to ____________?

	Highly likely	Most likely	Likely	Somewhat likely	Not likely
Suggest this class to other students	Suggest this class to other students Highly likely	Suggest this class to other students Most likely	Suggest this class to other students Likely	Suggest this class to other students Somewhat likely	Suggest this class to other students Not likely
Recommend this instructor to other students	Recommend this instructor to other students Highly likely	Recommend this instructor to other students Most likely	Recommend this instructor to other students Likely	Recommend this instructor to other students Somewhat likely	Recommend this instructor to other students Not likely
Buy this book to keep	Buy this book to keep Highly likely	Buy this book to keep Most likely	Buy this book to keep Likely	Buy this book to keep Somewhat likely	Buy this book to keep Not likely
Look further into some of these topics	Look further into some of these topics Highly likely	Look further into some of these topics Most likely	Look further into some of these topics Likely	Look further into some of these topics Somewhat likely	Look further into some of these topics Not likely
Explore campus programs more	Explore campus programs more Highly likely	Explore campus programs more Most likely	Explore campus programs more Likely	Explore campus programs more Somewhat likely	Explore campus programs more Not likely
Help classmates	Help classmates Highly likely	Help classmates Most likely	Help classmates Likely	Help classmates Somewhat likely	Help classmates Not likely
Continue to have study contacts	Continue to have study contacts Highly likely	Continue to have study contacts Most likely	Continue to have study contacts Likely	Continue to have study contacts Somewhat likely	Continue to have study contacts Not likely
See a tutor regularly	See a tutor regularly Highly likely	See a tutor regularly Most likely	See a tutor regularly Likely	See a tutor regularly Somewhat likely	See a tutor regularly Not likely
Visit the Health Center counselor	Visit the Health Center counselor Highly likely	Visit the Health Center counselor Most likely	Visit the Health Center counselor Likely	Visit the Health Center counselor Somewhat likely	Visit the Health Center counselor Not likely
Go to an Anxiety Workshop at the Health Center	Go to an Anxiety Workshop at the Health Center Highly likely	Go to an Anxiety Workshop at the Health Center Most likely	Go to an Anxiety Workshop at the Health Center Likely	Go to an Anxiety Workshop at the Health Center Somewhat likely	Go to an Anxiety Workshop at the Health Center Not likely
Seek out more off-campus help	Seek out more off-campus help Highly likely	Seek out more off-campus help Most likely	Seek out more off-campus help Likely	Seek out more off-campus help Somewhat likely	Seek out more off-campus help Not likely
Take a Self-Hypnosis Workshop/Class	Take a Self-Hypnosis Workshop/Class Highly likely	Take a Self-Hypnosis Workshop/Class Most likely	Take a Self-Hypnosis Workshop/Class Likely	Take a Self-Hypnosis Workshop/Class Somewhat likely	Take a Self-Hypnosis Workshop/Class Not likely

Other (please specify)

Question Title

* 7. Thank you for taking the time to take this survey for me. This is the last question. Please check all that apply.

Having a book on reserve made a big difference to me

Having access to a book was nice, but I could have bought my own

I would have rather bought a book so I could write in it and highlight things

Other

Question Title

* 1. In the textboxes, please provide the following information:Your Name: First LastThe section # and semester (example: Sec 2410, Sum 2008)

Question Title

* 2. I think the following class will have _________(choose one) on

Question Title

* 3. I would rate this class as a(n) _____________ (choose one) for

Question Title

* 4. Now that I've taken this class, I am

Question Title

* 5. Please be honest in evaluating me. YOUR ANSWER HAS NOTHING TO DO WITH YOUR GRADE IN CLASS! I want to improve my teaching by understanding if I am meeting your needs as a student.Rank the following about me and the class.

Question Title

* 6. How likely are you to ____________?

Question Title

* 7. Thank you for taking the time to take this survey for me. This is the last question. Please check all that apply.

* 1. In the textboxes, please provide the following information:
Your Name: First Last
The section # and semester (example: Sec 2410, Sum 2008)

* 5. Please be honest in evaluating me. YOUR ANSWER HAS NOTHING TO DO WITH YOUR GRADE IN CLASS! I want to improve my teaching by understanding if I am meeting your needs as a student.
Rank the following about me and the class.