Tool developed by Tonya Bates and Jennifer Warner to build empathetic classroom climate:

1. Your First Name (if you prefer to use a middle name or nickname, please include it in parentheses):

2. Your Last Name:

3. Preferred pronouns:

4. Major or Program of Study:

5.  Year or Class Ranking:

6. As you look over the topics on the course schedule, which topics seem most interesting to you? Which seem least interesting?

7. What test format do you find you do the best on? (Check all that apply) Multiple Choice, Short answer, matching, essay, other (please describe)

8. What are your biggest concerns about the class?

9. What are some things you plan to do to ensure your success in this course?

10. As an instructor, what sorts of things can I do to help you succeed in the course?

11. We will use a variety of learning strategies in this course.  From your other courses/experiences,  do you have any ideas or tactics that we can employ in this course?

12. Any other comments? Please write a few lines on something personal you would like to share with me (interests within the sciences, interests in you major field, how you decided to attend UNCC, what you plan to do after you graduate, a sport you play, a favorite pet) anything to help me know you as a person a little better!

I do assign points for completing this and it's easy to track as a Google form. I send it out the week before classes start and give a couple of weeks for a response to account for add/drop. I usually spend a couple minutes at the beginning of a class going over results and have students pair up to discuss.