1. CERC Assessment:  Pretest Survey (Academic Probation)

Demographic Information

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* 1. Date of Survey

Date

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* 2. Is this the first time you are on academic probation?

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* 3. Have you met with a CERC Counselor in person for educational counseling?

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* 4. What is your gender?

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* 5. What is your ethnicity? (Please select all that apply.)

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* 6. What is your age?

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* 7. How many hours do you work?

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* 8. How many hours do you study?

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* 9. Have you taken or are you taking remedial classes (english, math, or reading)?

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* 10. If yes, how many remedial courses are you taking or have taken?  (If no, skip this question)

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* 11. Are you the first to go to college in your family?

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* 12. Have you taken the Academic Probation workshop?

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* 13. What caused you to be on academic probation?  (Please select all that apply)

PRETEST QUESTIONNAIRES- RATING SCALE
Please mark the number that corresponds with your answer.

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* 14. I feel confident that I know what my academic standing means.

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* 15. I feel confident that I know what academic probation means.

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* 16. I feel confident in my ability to problem solve while in college.

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* 17. I am confident that I know how to achieve my academic and life goals.

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* 18. I am confident that I know how to improve my grades.

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* 19. I am confident that I know how to get off academic probation.

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* 20. I am confident that I know how to balance college and other responsibilities.

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* 21. I am confident about my study habits and skills.

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* 22. I am confident that I know what resources are available on campus when I need help.

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* 23. I am confident that I am motivated to succeed in college.

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* 24. I am confident that I know what career I want to pursue.

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* 25. I am confident that I will graduate from college.

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