* 1. Today's Date

mm/dd/yyyy
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* 2. Banner ID - ("N" Number)

* 3. Did you meet with your CERC counselor?

* 4. Which following resource(s) have you used? Mark all that apply

* 5. Are you attending classes?

* 6. Have you reviewed your syllabus for each class?

* 7. Are you aware of course requirements and deadlines?

8. Have you decreased your work hours?

* 9. Have you increased amount of study time?

* 10. Did you purchase your textbooks?

* 11. What are your challenges and obstacles that may affect your grades this semester? (Mark all that apply)

* 12. How motivated are you to succeed in your classes this semester? (ONLY ONE ANSWER)

* 13. What changes have you made this semester as a result of attending a "D" (RSS) Workshop?

* 14. How can CERC counselors help you to overcome these obstacles/challenges?

* 15. Which CERC workshops did you attend this semester? (Mark all that apply)

* 16. What other workshop topics may help you to succeed? Please suggest some ideas.

Thank you for taking the survey!

T