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BIO 210 Student Questionnaire, Spring 2019
This questionnaire is for my 2019 BIO 210 students. All responses are kept in the strictest confidence. The answers help me to get to know you as people, not just a name and number. It is optional, but you are strongly encouraged to fill it out!

Directions: You may provide any or all the information requested. When finished, click the submit button at the bottom. (If you don't see the questionnaire, you will see a blue button labeled "Fill Out Form" instead; click on this to access the questionnaire.). If you have any problems, please email at

In which section are you enrolled?
Please enter your first name (or middle name if that's what you go by) and last name:
Your answer
What name would you like to go by in class?
Your answer
If you think it necessary, please indicate how your name is pronounced.
Your answer
What is your preferred email address?
You can enter more than one address.
Your answer
If you want to receive texts from me, what is your preferred text message number? (I may send out texts now and then, especially if there is an urgent notice such as a class cancellation. Any information in a text would also be communicated through email and/or announcements in Canvas.)
Your answer
Please indicate which of the following Palomar College courses you have taken in the last 5 years (choose the Palomar equivalent if you've taken the courses at other colleges). Please select all that apply.
What is the most advanced diploma, certificate, or degree you have received?
Which of these classes are you also taking this term? Please select all that apply.
What is your academic load this term?
How many hours per week are you working this term?
What is your career goal? (Though you may have more than one, please choose the single goal you are most passionate about.)
Career goal if not listed above:
Your answer
If your goal is a BSN (Bachelor's in Nursing), would you still be applying to a AA nursing program?
Additional comments: Please share anything else you'd like, such as your family situation, life experiences, hobbies, etc. Thank you! Dr. C.
Your answer
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