Participant Survey

Name:
Date:
Post Secondary School you are attending:
Program of Study:

Please Circle all the answers that apply to the following Questions:

When you think about starting university, which of the following factors cause you stress?

Writing Skills:
Exams:
Note Taking Abilities:
Study Habits:
Leaving Home:
Forming New Relationships:
Having a Roommate:
Peer Pressure:
Busy Schedules:
Money/Budgeting:
Unhealthy Lifestyle:
Other:

What information about sexuality and sexual health would you like to know more about?

Birth Control Options:
Preventing STIs:
Making Empowered Choices:
Acquaintance Rape:
Celebrating Diversity
Drug-induced Sexual Assault
Prevention & Personal Safety
Relevant Clinics and Resources
   

Please answer "yes" or "no" to the following questions:

Do you believe that you have the necessary skills to take care of yourself while you are at university?
 Yes No
If no, please elaborate:
Are you confident that high school prepared you with the academic skills necessary for university?
Yes No
If no, please elaborate:
Are you aware you aware of on-campus resources, such as tutoring, counseling and health services, that are available at your university of choice?
 Yes No*
*If no, you are strongly encouraged to explore your university through on-line resources, information booklets, and/or campus visits before you attend.