Preliminary Self Assessment Form
Please take time to reflect on the questions below. During your meeting, you and your advisor will discuss the answers to the following.
Stony Brook ID#
What is your Undergraduate College?
How would you rate your current study habits
Not Effective at All
On a scale of 1-10, how important is it for you to make a change in your study habits?
Not at all Important
On a scale of 1-10, how confident are you that you can make a change in your study habits?
Not at all confident
During a typical week about how many hours do you spend preparing for class?
This includes, reading for class, homework, studying, or reviewing notes
About how many times a week do you miss class?
More than 6 times
Please check the answer of your choice to each question
Directions: The following questions are designed to help you identify how you feel about your study habits and what has contributed to your academic difficulties.
Please read each of the statements below carefully, and then decide whether you agree or disagree with the statements.
My concentration is easily broken.
I have difficulty with courses in my major.
I have difficulty managing my time.
My course load was too heavy.
I am unsure of my major choice.
I am unable to understand course material.
I am having a hard time adjusting to college.
I am having a hard time making connections with other students.
I am having home/ family problems.
I have a lot of social distractions.
I have a lot of stress/anxiety.
In your own words, please describe the factors that contributed to your academic difficulties.
In spite of the difficulties I had last semester, I am proud of the following (include both academic successes and personal success over the past few months).
The following people or resources can provide me support as I move forward.
Select the number that best represents how motivated you are to make a change in your academic and personal habits.
10 (Taking Action to change)
8 (Starting to think about how to change my habits)
5 (Think I should change, but not quite ready)
0 (No thought of changing)
Please click on any Academic Success Resources that you utilized on campus this past semester
Check all that apply
Undergraduate College Advising
College of Engineering and Applied Science Advising
Pre-Health and Pre- Law Advising Services
Applied Mathematics and Statistics Help Room
Biology Learning Center
Business Learning Center
Chemistry Learning Center
Economics Help Room
Mathematics Learning Center
Physics Help Rooms
Residential Tutoring Centers
Spanish Writing Center
Center for Prevention and Outreach
Commuter Student Services
Counseling and Psychological Services
Disability Support Services
Please use the space below to develop your action plan for success. Please list at least one goal that you have identified to help you succeed this semester and what action steps you will take to reach that goal. We encourage you to develop three goals. You and your advisor will discuss these goals at your Academic Standing meeting.
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