Problems that contributed the academic issues: (identified by student)
Health and Support Career
___Physical illness or injury ___Unsure of interests
___Housing/roommate issues ___No career goals
___Dating or other relationship issues ___Unable to decide on a major
___Diversity issues ___Other:
___Feel high anxiety
___Loneliness
___Homesickness Academics
___Victim of crime ___Test anxiety
___Trouble making friends ___Lack of study skills
___Lack of support from family or friends ___Insufficient reading skills
___Use of alcohol or other substance abuse ___Insufficient math skills
___No meaning to life ___Insufficient writing skills
___Trouble dealing with stress ___Poor note taking
___Feel overwhelmed much of the time ___Unable to understand course material
___Feel sad or “blue” most of the time ___Too heavy a course load
___Other: ___Other:
Effectiveness Managing commitments
___Poor organizational skills ___Difficulty with time management
___Poor study environment ___Difficulty managing family and school
___General laziness with course work ___Too many credits
___Too much leisure time or recreation ___Working too many hours
___Procrastination in school and personal life ___Athletic department commitments
___Challenges with making decisions ___Too many extracurricular activities
___Underestimated challenge of college ___Poor class schedule
___Other: ___Other:
Commitment to Graduation Finances
___Not sure I want to be in college ___Not enough money for school expenses
___Not sure Rocky is the right place for me ___Challenges paying bills
___Came to college to please a family member ___Poor budgeting skills
___The time to graduation seems overwhelming ___Family financial obligations
___Other: ___Other:
School Community
___Cultural barriers
___No connections with faculty
___Not using tutoring services
___Can’t find tutoring services
___Difficulty with books/other course materials
___Difficulty transition to college
___Other:
How have you addressed the problems that contributed to academic issues:
1. _____________________________________________________________________
2. _____________________________________________________________________
3. _____________________________________________________________________
4. _____________________________________________________________________
5. _____________________________________________________________________