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

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* 2. Please provide your email address.

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* 3. I placed in basic skills.

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

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

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

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

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

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* 9. I had trouble taking tests.

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* 10. I have trouble concentrating when I read.

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* 11. I receive Financial Aid 

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

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

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

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* 15. I have difficultly in large classes.

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

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

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

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* 19. I set goals during the previous semester.

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

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

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* 22. I discussed personal issues with a counselor.

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* 23. My job interfered with my college major.

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

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* 25. I had financial concerns.

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* 26. Commuting to campus hindered my academic performance.

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

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* 28. I participated in study groups.

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

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* 30. My family responsibilities interfered with my studies.

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