|
PBA Home >
Institutional Research & Analysis >
Surveys >
Client-Requested >
Withdrawing Student Survey > Questionnaire
Withdrawing Student Survey Questionnaire
We regret that you must withdraw from CU. Knowing why you’re withdrawing will help us serve future students better so we’d like to get some information from you.
Please use the accompanying answer form to answer all questions. In the upper left-hand portion of the answer form, fill in today’s date and your student ID number. Please darken the circles completely using a #2 pencil. Select only one answer for each question. We are asking for your ID so we can get things like your major, first year of enrollment and residency from CU’s student records. This will spare you the inconvenience of answering questions for which we already have answers. We will keep your responses strictly confidential.
- What are your plans for the coming year?
- Enroll in college/school only
- Work only
- Work and enroll in college simultaneously
- Care for home and family
- Undecided
- Do you plan to re-enroll at CU?
- Yes
- Undecided
- No
- What was the last school you attended before entering CU?
- High School
- 2-Year College
- 4-Year College
- Grad/Professional School
- Other
- What is your cumulative GPA?
- 3.5 or above
- 3.0 – 3.49
- 2.5 – 2.99
- 2.0 – 2.49
- 1.99 or below
- What was your main source of financial support while at CU?
- Parents
- Grants or scholarships
- Loan
- Job
- Own savings
- Were you employed while a CU student?
- Not employed
- 20 hours or less on-campus
- More than 20 hours on-campus
- 20 hours or less off-campus
- More than 20 hours off campus
Questions 7 – 34 list personal, academic and financial/employment reasons for withdrawing. For each, indicate on your answer sheet whether it was or was not a reason for withdrawing.
A = WAS a reason for my withdrawing
B = NOT a reason for my withdrawing
PERSONAL
- Health problems (personal/family) or emergency
- Experienced emotional problems
- Felt alone or isolated
- Felt racial/ethnic tension
- Dissatisfied with housing arrangements/roommates/commuting
- Family responsibilities (marital situation, child care, etc.) too great
- Need to "get myself together"
- Wanted a break from college (for travel, work, etc.)
- Uncertain about the value of a college education
- Disliked the general atmosphere at CU
- UCB campus was too impersonal
- Too much of a party atmosphere at UCB
ACADEMIC
- Dissatisfied with own academic performance/placed on probation
- Disappointed with quality of instruction at UCB
- Impersonal attitudes of faculty/staff
- Inadequate study habits
- Couldn’t get in the school or college I wanted
- Couldn’t get in the major I wanted
- Couldn’t get the courses I needed for my degree program
- Couldn’t get the courses or professors I wanted
- Class sizes were too large
- Received inadequate or misleading academic advising
FINANCIAL/EMPLOYMENT
- Did not receive adequate university financial aid
- Did not receive adequate financial support from parents or family
- Could not find part-time work at CU
- Conflict between demands of job and college
- Did not budget my money correctly
- Accepted a full-time job
- Was your primary reason for withdrawing
- Personal?
- Academic?
- Financial?
- Employment?
- Please tell us your reasons for withdrawing in your own words and include any suggestions you have for making CU better. Please write your answer on the blank portion at the bottom of the answer form.
Thank you for your time!
|