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TRIO ACES
Academic Coaching Pre-Screening
Academic Coaching Pre-Screening
Academic Coaching Pre-Screening Form
Student Information
*
Required
Please type your first and last name
First
Last
Email Address
*
Required
Student ID Number
*
Required
Date
*
Required
MM slash DD slash YYYY
How often did you take responsibility for your actions and behavior?
1. Never
2. Rarely
3. Sometimes
4. Often
5. Very Often
6. Always
How often did you stay focused when necessary?
1. Never
2. Rarely
3. Sometimes
4. Often
5. Very Often
6. Always
How often did you meet your deadlines?
1. Never
2. Rarely
3. Sometimes
4. Often
5. Very Often
6. Always
How often did you stay on top of things?
1. Never
2. Rarely
3. Sometimes
4. Often
5. Very Often
6. Always
How often did you accomplish what you set out to do?
1. Never
2. Rarely
3. Sometimes
4. Often
5. Very Often
6. Always
How often did you use the study skills and strategies that work best for you?
1. Never
2. Rarely
3. Sometimes
4. Often
5. Very Often
6. Always
How often did you feel organized?
1. Never
2. Rarely
3. Sometimes
4. Often
5. Very Often
6. Always
How often were you on time when you needed to be on time?
1. Never
2. Rarely
3. Sometimes
4. Often
5. Very Often
6. Always
How often did you prioritize tasks and activities?
1. Never
2. Rarely
3. Sometimes
4. Often
5. Very Often
6. Always
How often did you plan ahead or schedule your tasks and activities?
1. Never
2. Rarely
3. Sometimes
4. Often
5. Very Often
6. Always