Sue Werb's Questionnaire for Test Prep & College Coaching
Please answer the following questions for feedback on a personalized prep plan.
Contact Info: Name, Grade, School, Email, Phone
I need this information so that I can give you feedback. I promise to keep it private.
How did you find out about me?
Personal Recommendation (family or friend)
Flyers or Signs
Which test(s) are you planning to take and when?
Within 4 weeks
Within 4-8 weeks
Within 3-4 months
Within 5-6 months
Sometime this year
Within 4 weeks
Within 4-8 weeks
Within 3-4 months
Within 5-6 months
Sometime this year
Please list dates and scores from previous tests (P/SAT, ACT, GRE, GMAT), including subsections and essays.
What subjects did you take last year? What were your final grades?
What classes are you taking this year?
What are your favorite and least favorite subjects?
Do you participate in any extra-curricular activities (clubs, theater, sports, job, volunteering)?
If so, please explain with specifics (activities, level of involvement, time periods)
What do you want to study in college? What careers are you considering?
To which colleges do you plan to apply? Do any require or superscore specific test(s)? Do you plan to apply to any colleges in the Midwest or any Ivy League Universities?
All schools accept both tests but most superscore only one (recalculate composite score using best subsections from tests taken on different dates), some average different tests or consider only best composite score, and others are now requiring both tests. It is important to know the specific policy of each school to which apply.
Do you have approved accommodations (extra time, oral presentation, etc) for either test? Have you ever had testing accommodations or an IEP?
If so, please explain and give specifics.
Is time an issue for you on either traditional or standardized tests? If so, for which specific tests and subjects?
Which type of course scheduling do you like better?
BLOCKS (fewer but longer classes each day)
PERIODS (shorter but more classes each day)
Are you better at school work or better at taking standardized tests?
School work and traditional tests
No big difference
What makes you feel more proud: your ability to solve problems and tackle mentally-challenging tasks or your grades and achievements at school?
How are your focus and concentration skills? Do you get distracted easily?
I usually have difficulty concentrating or a short attention span. I am easily distracted.
I sometimes have a difficulty concentrating or get distracted.
It all depends.
I usually can concentrate and focus.
I never have these issues.
Do you prefer switching between different tasks, or focusing on one until it is done?
I like variety and switching between tasks.
I like focusing on something until it's done.
I don't know.
Are you better at memorizing facts and figures straight up or figuring out new things as you go along?
I am good at memorizing and recalling facts.
I am good at creatively solving new problems.
I don't know.
Do you prefer predictability (knowing what to expect, sticking to a schedule) or do you prefer some novelty (newness or uncertainty)?
I must have a plan and want to know what to expect.
I like spontaneity and surprises.
I don't know.
Do you sometimes/often make careless mistakes?
SOMETIMES but I usually check carefully and catch them myself.
SOMETIMES, and I get annoyed when I lose points for silly mistakes :/.
NEVER. I am too careful to let that happen :)
Do you question your answer choices? What causes you to change an answer choice?
NEVER. I always stick to my choices.
SOMETIMES, but only if/when I find a mistake.
SOMETIMES, often when it just doesn't "feel right."
ALWAYS. I usually second-guess myself and often don't trust my answers.
Do you sometimes have a problem figuring out what a test question is asking?
If so, explain why and specify for what subjects (reading, math, grammar, science, etc)
Do you feel confident knowing when to skip a question or guess on it?
YES because I am generally a good guesser so I will take the risk.
NO because I am usually a bad guesser and don't want to take the risk.
Do you get bored when taking tests?
SOMETIMES depending on the subject.
Do you sometimes tune out when reading a passage and get to the end only to wonder what you have just read?
SOMETIMES depending on the subject
Is English your primary language?
If you answered "NO" to the previous question, please choose all responses that apply to you
I use English at school and another language at home.
I learned English at a very young age (less than 6 years old).
I learned English 5-10 years ago.
I learned English 2-5 years ago.
I recently learned English 1-2 years ago.
I understand spoken English very well.
I am confident in speaking in English.
I am confident in reading English.
I am confident in writing in English.
When I speak or read in English, I also think in English.
When I speak or read in English, I think in my native language and then mentally translate.
What is your vocabulary level?
Are you an outside reader?
Do you enjoy reading beyond your school assignments/requirements?
YES, I am always reading a book for pleasure.
SOMETIMES, if I have time or find something that really interests me.
NO, I only read what/when I have to for school or work.
Do you consider writing one of your biggest talents? Do essay exams make you nervous?
YES, I love writing and consider myself a good writer. Essay exams don't make me nervous at all.
SOMEWHAT, I will write if I have to and usually do well. Essay exams make me a little nervous.
NOT REALLY, I will write if I have to but usually don't do well. Essay exams make me very nervous.
NO, I don't like writing at all and get very nervous about any writing assignments on which I am graded.
In which grade did you start to use a calculator during class or for homework?
4th grade or before
Are you confident in converting and calculating decimals, fractions and percents?
YES I have no problem with these.
SOMEWHAT, but I can usually figure it out.
NO not at all - these words scare me! ;$
Are you confident in transforming formulas (algebraic manipulation)?
YES no problem.
SOMEWHAT but I can usually figure it out.
NO not at all - I don't even know what this means :/
Do you understand trigonometry?
YES up to intermediate/advanced trig.
SOMEWHAT but only basic/intermediate trig.
NO but I can probably learn the basics.
What is trigonometry?
How do you prefer to answer math questions?
I am comfortable doing all calculations and filling in my exact answer.
I definitely prefer multiple choice.
I have no strong preference.
What kind of math problems do you like doing?
I'd rather work on problems just like the ones we have done in class.
I would rather do fun, real-world math like trying to break some random code or solve a problem I read about or saw online.
I prefer not doing any math :P
Do you like science?
YES, I love science and want to have a career in STEM.
USUALLY, but it depends on what kind.
SOMETIMES, if I have to take the class.
NO, not at all.
Do you feel confident about interpreting visual data such as tables, charts and graphs?
YES, I am very visual and it comes naturally to me.
SOMEWHAT but only if I am shown how.
NO, I am not at all visual and don't understand graphic information.
What is your dominant handedness? (yes, that is a real word lol)
I do everything with my right hand.
I do everything with my left hand.
I do most things with my right hand and some things with my left hand.
I do most things with my left hand and some things with my right hand.
I switch back and forth and use both hands equally.
What are your learning preferences, strengths and weaknesses? (This can vary by subject matter so please indicate differences.)
If you would like an in-depth analysis you can take the online survey in the following link or print out the Google doc:
How much stress are you feeling about doing well on these tests?
NONE. It's whatever. Life goes on no matter how I do. I'm chill.
A LITTLE. It's another test. It would be nice to do well. I'm calm.
SOME. It's an important test. I know I have to get ready. I want to do well.
A LOT. It's a really important test. I am not sure I can ever be totally ready or that my best is good enough.
A TON! It's the most important test I will ever take. My life is over if I don't do well. I'm freaking out!
Who is the main source of pressure or high expectations?
ALL ME. I am my loudest self-critic and my own worst enemy.
MOSTLY ME. I put a lot of pressure on myself. I usually try to be a good student.
A MIX OF ME AND MY FAMILY. I want to do well for myself and my family supports my goals without being too pushy.
MOSTLY MY PARENTS/FAMILY. They usually expect me to do really well or compare me to my siblings/cousins, etc.
ALL MY PARENTS/FAMILY. They always expect too much from me. Their support is conditional on how I perform. The pressure is overwhelming. :(
Do you get test anxiety?
NO, never. I usually feel confident going into a test or am just not bothered at all by the outcome.
MAYBE, but only rarely if I am completely unprepared, tired or sick. It is not usually a significant issue.
MAYBE, but it often feels like excitement and even helps me perform better.
If you answered "YES" to the previous question, check all of the statements that apply to you.
I get nervous before and/or during an exam.
I find it difficult keeping my "jitters" under control.
I have a personal history of failure on tests.
I get cold/clammy hands.
I often find that the test - at first glance - seems "foreign" or unfamiliar.
I consider myself a "sensitive person" when it comes to other aspects of life.
I have poor or personally unacceptable study habits.
I often "blank out" on tests, have minimal recall or short-term memory problems.
I worry excessively about the prospect of failure and its consequences.
I feel hot, clammy queasy or sick before or during a test.
I sometimes hyperventilate, feel faint or light-headed.
I have excessive pressure to succeed either from self or from other sources.
I often compete with peers, family members and/or friends for grades.
I experience test "panic" because of the realization I am unprepared.
I fear having to maintain the "burden" of success.
I have pressing concerns or problems that occupy my mind.
I have habitual unwanted thoughts or persistent distractions during a test.
I am a perfectionist.
I procrastinate so much I am always behind in my assignment.
I found it necessary to cram for the last test I took.
I often cram the night before a test.
I have difficulty sleeping the night before a test.
I try to avoid going to school the day of a test.
I am much more hesitant to enter the classroom before a test.
My heart beats fast during the test.
My negative voice is quick to tell me what I can't do.
I feel tension in my shoulders, arms, neck or face during a test.
I am irritable, snappy, impatient and sometimes even rude right before a test.
As soon as I leave the classroom after taking a test.
I remember answers that I didn't know during the test.
I get distracted and annoyed by the littlest things others do in class during a test.
I always worry about not having enough time to complete tests.
I get stuck on one question and become too stubborn to move on until I can figure out the answer, even when I know I am taking too much time.
I hurry to get out of the room and out of the test as quickly as possible.
I race to get done and don't even think about going back to check my answers or proofread.
I turn in tests that are incomplete even when I have more time.
I often find myself blaming the teacher, my family or my friends when I am not prepared for a test.
Do you analyze your mistakes after getting a test back?
NO, never. When I am done, that's it! I don't want to really think about it anymore.
SOMETIMES, but only to see which ones I got wrong.
SOMETIMES, but only if I know am going to be re-tested on the material.
YES, I always try to learn from my mistakes and find patterns in the problems I have.
If you answered "SOMETIMES" or "YES" to the previous question, check all of the statements that describe the kinds of mistakes you often make on tests.
I often make careless mistakes and sometimes can't believe the answers that I marked.
I sometimes don't read the questions carefully enough.
I often don't understand what the question is asking.
I don't always study the relevant material and get caught "off guard."
I sometimes read too much into an answer choice to make it a better fit.
I tend to get it down to two choices but usually pick the wrong one.
I tend to over-think my answer choices.
I know the material but "blank out" during the test.
I often miss an important word in the question or not know what some key words mean.
I often get questions that say NOT or EXCEPT wrong.
I tend to second-guess myself and change right answers to wrong ones.
I feel rushed. If I just had more time I wouldn't have made most of my mistakes.
Page 1 of 1
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service