8/11/2019 Supplemental Instruction Questionnaire CY 231 Paitra Onkst Fall 2013

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SI Leader: Paitra Onkst

Supplemental Instruction Questionnaire CY 231

Name: _____________________________ Student Number: ______________________

Cell Phone #: ________________________________________

Year in school: Freshman Sophomore Junior Senior

Major: ____________________

Weekly Supplemental Instruction sessions will be offered to all students enrolled in this course.

This questionnaire will determine the most convenient times to schedule these sessions. If there

is not a time offered below that is convenient for you please notify the Supplemental Instruction

Leader to try to schedule another option.

Instructions: Please fill out the questionnaire whether you feel that you will use this service or

not. Thank you.

1) On a scale of 1 to 5 (1=NOT INTERESTED; 5= VERY INTERESTED) please indicate

how interested you are in attending supplemental instruction sessions for this course.

A) 1 B) 2 C) 3 D) 4 E) 5

2) Have you ever attempted this course before?

A) Yes B) No

3) Have you ever attended an SI session (in this or any other course)?

A) Yes B) No

4) What are your future college plans?

A) I will return to college at JSU next term and graduate in the near future.

B) I will return to JSU next term but eventually transfer elsewhere to graduate.

C) I will not return to JSU but will transfer elsewhere at the end of this semester.

D) I do not intend to return to JSU or to enroll elsewhere next semester.

E) I have other plans/I am undecided about my plans.

F) I am graduating this semester.

Please indicate which of the following times will be more convenient for you to attend a

Supplemental Instruction session:

8/11/2019 Supplemental Instruction Questionnaire CY 231 Paitra Onkst Fall 2013

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SI Leader: Paitra Onkst

Place an X in the hours that you are NOT able to attend

Monday Tuesday Wednesday Thursday Friday

8:00am

8:30am

9:00am Ccccccccccccccc Ccccccccccccccc

9:30am Ccccccccccccccc Ccccccccccccccc

10:00am Ccccccccccccccc Ccccccccccccccc Ccccccccccccccc Ccccccccccccccc Ccccccccccccccc

10:30am Ccccccccccccccc Ccccccccccccccc Ccccccccccccccc Ccccccccccccccc Ccccccccccccccc

11:00am Ccccccccccccccc Ccccccccccccccc Ccccccccccccccc

11:30am Ccccccccccccccc Ccccccccccccccc Ccccccccccccccc

12:00pm Ccccccccccccccc Ccccccccccccccc Ccccccccccccccc

12:30pm Ccccccccccccccc Ccccccccccccccc Ccccccccccccccc

1:00pm Ccccccccccccccc Ccccccccccccccc Ccccccccccccccc

1:30pm Ccccccccccccccc Ccccccccccccccc Ccccccccccccccc

2:00pm Ccccccccccccccc Ccccccccccccccc

2:30pm Ccccccccccccccc Ccccccccccccccc

3:00pm Ccccccccccccccc Ccccccccccccccc

3:30pm Ccccccccccccccc Ccccccccccccccc

4:00pm Ccccccccccccccc Ccccccccccccccc

4:30pm Ccccccccccccccc Ccccccccccccccc

5:00pm

5:30pm

6:00pm

6:30pm

7:00pm

7:30pm

8:00pm