Revised 8/16/2016
Academic Advising Student Self Survey
Please come prepared for your advising appointment. Before meeting with an academic advisor, you will
need to bring this completed Student Self Survey, and a copy of your Academic Evaluation.
Name:
ID#:
Probation Term:
Program of Study:
Catalog Year:
**This assessment survey is for YOUR benefit. In order for us to help serve you better, it is important that
you are honest and truthful with your answers. **
How many credits do you take during a typical term?
How many hours a week do you work during a typical term?
How many hours do you study per week?
List classes you have taken that you did not like or did not hold your attention:
In what classes have you had the most difficulties?
Have you visited with your instructors during their office hours? If so, how often?
What do you do when you don’t understand an assignment or class material?
Revised 8/16/2016
Explain any difficulty you have with test taking:
Do you know how you learn?
Learn by Seeing Learn by Hearing/Listening:
Learn by Doing Don’t Know:
List campus resources that you know offer services to students:
Which, if any, of these resources have you used?
How often do you see an Academic Advisor?
Give us an explanation of why you feel you are on Academic Probation
Revised 8/16/2016
List your plans to improve your grades in your next term:
Time Management: Do you…
YES
NO
SOMETIMES
Keep lists prioritizing tasks to be done?
Break big assignments into manageable parts?
Use a planner or other calendar?
Use a cell phone for time management/organizer?
Have a set place to study away from distractions?
Where do you study?
Establish regular study times each day?
Do you shut your cell phone (or other social media) off when you study?
Do you use your syllabus to plan ahead for projects/assignments/tests?
Study Skills - Note Taking: Do you
YES
NO
SOMETIMES
Copy everything the instructor says and/or PowerPoint word for word?
Write down the main ideas from lecture?
Review previous class notes before the next class meeting?
Get copies of class notes if you are absent?
Do the notes that you take in class help you to study for tests?
Study Skills Reading: Do you
YES
NO
SOMETIMES
Look through a reading assignment before beginning to read?
Take notes while you are reading the material?
Ask questions to yourself about the content while you are reading?
Highlight the main ideas in the text as you read?
Review your reading notes before the test?
Study Skills Test Taking: Do you…
YES
NO
SOMETIMES
Use a specific method for remembering/memorizing class material?
Do most of your studying the night before the test?
Get enough sleep the night before the test?
Answer/solve easy questions on a test first?
Reread test questions before answering?
Use the entire time you are allowed to take the test?
Revised 8/16/2016
Read through the entire test before turning it in?
Review graded tests to determine what you missed?
Do you form study groups with friends/classmates?
Study Skills Class Participation: Do you…
YES
NO
SOMETIMES
Attend every class session?
Arrive on time for class?
Ask questions?
Participate in class discussions?
Turn in all of your assignments on time?
Are you have difficulty with Moodle Learning?
Living/Working Arrangements:
YES
NO
SOMETIMES
My living environment makes studying difficult
My work responsibilities interfere with my school responsibilities
Because of school and work, I have very little time to sleep or study.
My social life or family responsibilities take up all of my study time
Explain any details:
How will the demands of your time be different this term?
Motivation:
YES
NO
SOMETIMES
Are you satisfied with the major you have selected?
Was attending Clackamas Community College your choice?
Do you use Facebook on a daily basis?
What is your dream job?
What are you primary goals at this point in your life?
Goal Setting/Expectations:
YES
NO
SOMETIMES
I find my school work interesting.
I am satisfied with just passing all my classes.
Revised 8/16/2016
I am frustrated that I can’t get straight A’s
My college grades are much lower than my high school grades
Do you check your myClackamas email regularly?
While taking exams, I feel a high level of anxiety
Explain any details:
Regarding your studies and academic progress, are there any other circumstances or problems you are facing that you
would like to share?