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In order to effectively provide various services, in addition to the SPSU-PSLSAMP scholarship program, we urge you to complete the questions below. Completely answering the questions will assist the program director to work with the campus project management team in ensuring that your needs are met and for you to maximally benefit from the LSAMP program

Personal Data

1. Date:
2. SPSU ID :
3. Name:
4. Major:
5. Age:
6. E-Mail:
7. Mailing Address:
8. City:
9. State:
10. Zip:
11. Telephone:

Survey

1. Please answer YES or NO for each of the following statements.
2. 1.)  I have a Career Goal.
3. Yes No
4. 2.)  I am confused and undecided as to what my education and vocational goals should be.
5. Yes No
6. 3.)  I set goals for myself on a regular basis.
7. Yes No
8. 4.)  I budget my time wisely.
9. Yes No
10. 5.)  I often feel that the classes I am taking do not relate to what I want to do with my degree.
11. Yes No
12. 6.)  I often spend time doodling or daydreaming instead of listening to the professor.
13. Yes No
14. 7.)  I know where to go if I have an academic problem.
15. Yes No
16. 8.)  I am generally reluctant to discuss my future plans (educational and/or occupational) with my professors or a counselor.
17. Yes No
18. 9.)  I have considered at least three occupational choices.
19. Yes No
20. 10.)  I feel like dropping out of school and working full time.
21. Yes No
22. 11.)  I know what I have to do to succeed in college.
23. Yes No
24. 12.)  I know how to use the campus library and other local library facilities.
25. Yes No
26. 13.)  I usually hesitate to ask a professor for help.
27. Yes No
28. 14.)  I have to work to pay for school.
29. Yes No
30. 15.)  I often feel that my professors require too much from me.
31. Yes No
32. 16.)  My current academic schedule is a problem.
33. Yes No
34. 17.)  I often feel that the professors don’t understand the needs and interests of students.
35. Yes No
36. 18.)  I know where to go on campus if I have a personal problem.
37. Yes No
38. 19.)  I have lost interest in my study.
39. Yes No
40. 20.)  I often feel overly anxious when taking a test/exam.
41. Yes No
42. 21.)  I know what to expect as Southern Polytechnic.
43. Yes No
44. 22.)  I do not feel adequately prepared for college.
45. Yes No
46. 23.)  I have had tutoring in the past.
47. Yes No
48. 24.)  I am concerned as to whether or not I will be a successful student.
49. Yes No
50. 25.)  I am satisfied with my ability to behave as a self-disciplined person.
51. Yes No
52. 26.)  I am satisfied with my current gpa.
53. Yes No
54. 27.)  I am frequently unable to concentrate on my studies because of restlessness, moodiness, boredom, playing with video games, partying, ect.
55. Yes No
56. 28.)  My housing environment is conducive to doing academic work.
57. Yes No
58. 29.)  I feel comfortable disagreeing with my parents on topics such as my career choices and academic performance.
59. Yes No
60. 30.)  I normally wait until a test is scheduled before I read textbook assignments or review lecture notes.
61. Yes No
62. 31.)  My roommates and I are compatible.
63. Yes No

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