* 1. Please enter your first and last name and A number

* 2. Please provide your email address.

* 3. I placed in basic skills.

* 4. Someone in my family is a college graduate.

* 5. I missed more than three class meetings during the previous semester.

* 6. I procrastinated when I had to study for a test, write a report, or do a project.

* 7. When I had trouble understanding my course material, I spoke to my instructor.

* 8. I studied for two hours for each credit hour I was enrolled in.

* 9. I had trouble taking tests.

* 10. I have trouble concentrating when I read.

* 11. I receive Financial Aid 

* 12. I receive the the following types of aid:

* 13. I took notes as I read my text and assigned readings.

* 14. I reviewed my notes within 24 hours of taking them.

* 15. I have difficultly in large classes.

* 16. I have taken a career assessment test/survey.

* 17. I was academically prepared for my course during the previous semester.

* 18. I have declared a major and have an education plan.

* 19. I set goals during the previous semester.

* 20. I balanced my study time, social life, and work schedule.

* 21. I had personal issues that impacted my studies.

* 22. I discussed personal issues with a counselor.

* 23. My job interfered with my college major.

* 24. I worked more than 20 hours per week.

* 25. I had financial concerns.

* 26. Commuting to campus hindered my academic performance.

* 27. I had second thoughts about my college major.

* 28. I participated in study groups.

* 29. I actively participated in one or more organization.

* 30. My family responsibilities interfered with my studies.

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