Name (Optional):

Gender:

Student Number:
Current Degree Program:

Exit GWA:

Degree Program during Third Year:

On entering the specific degree program on engineering, what was the reason
you picked the engineering course? For each statement, please check the
appropriate box.
Strongl
y Agree
5
Good at math or science
Like to build and/or fix things,
or solve problems
Participated in engineering
camp or workshop that
influenced me
High school advisor or teacher
suggested it
Wanted to be able to get a wellpaying job after I graduate
Like work that engineers do
Parents, other relatives or
friend is an engineer
Parents, siblings or other
relatives recommended it
Attracted by the challenge of a
difficult curriculum
Received or anticipated
possibility of good college
scholarship

Agre
e
4

Fairly
Agree
3

Disagre
e
2

Strongly
Disagre
e
1

Thinking about your stay in your engineering program, how much do you agree
or disagree with the following? For each statement, please check the
appropriate box.
Strongl
y Agree
5

Agre
e
4

Fairly
Agree
3

Disagre
e
2

Strongly
Disagre
e
1

I feel that I belong in this

course
I was challenged by the
subjects I was taking
I really wanted to learn
I participated in the class
regularly
Its often hard to pay attention
in class because was worrying
about problems outside of
school.
I was not focusing much since I
really do not want to take this
course
I got bored while studying the
subjects
What was the reason why you left the engineering course? For each statement,
please check the appropriate box.
Strongl
y Agree
5

Agre
e
4

Fairly
Agree
3

Disagre
e
2

Strongly
Disagre
e
1

Some of the professors did not

taught the subjects very well
Engineering subjects were too
difficult to understand
My time management was very
poor
Did not meet the requirements
needed to be passed within the
semester
Some of the professors were too
strict
Lack of preparation on taking
the major subjects
Was just forced to take the
course
Financially unstable
No background on the major
subjects
The math and sciences
teaching of previous professors
were poor
Not enough time for social life
Had too much extra-curricular
activities
Lack of communication
between block mates
Lack of communication
between the professor
Lack of support from the family
Too pressured by the family
Peers contributions were
negative
Violated a rule on the
university
The class were too large
I do not think I can succeed in
Engineering
I think I can make more money

in another discipline
Too much effort required when
I am uncertain about what I
want to do
Engineering majors offered do
not match my interests.
I have a job and the
curriculum is too intensive.
Courses I want to take are not
offered enough
Engineering is not challenging
enough for me.
I got bullied inside the
classroom
The workload was just too
many
I was not respected inside the
classroom

Family
Yes

No

Yes

No

Were you forced to take the course?

Were you pressured to excel in your studies?
Was there any lack of support from your family during your stay
in the course?
Academics

Was the course of engineering do not match your interests?

Was the course of engineering too challenging for you?
Were some of the subjects too complex to understand?
Was the workload too many?
Were there too much requirements needed to pass the semester?

Was the environment too competitive for you to handle?

Does low grades make you discouraged?

Preparation
Yes

No

Yes

No

Yes

No

Yes

No

Did your high school not offer proper college preparation

courses?
Was there an inadequate mathematics preparation?
Was there an inadequate sciences (chemistry and physics)
preparation?
Did you have any background on the major subjects in
engineering?
Social Life

Do you use your social medias regularly?

Did the use of social media regularly affect your
Do you go out with your friends regularly?

Extra-Curricular Activities
Do you have a job?
Are you in a varsity team?
Peers Contribution

Were you bullied inside the classroom?

Was there lack of communication between you and your block

mates?
Were you influenced by your friends/block-mates negatively?
If your answer is no, specify your reason:

Teaching
Yes

No

Yes

No

Yes

No

Were some of the professors strict?

Were some of the professors did not teach the subjects very well?
Did the professor gave too much assignments/projects to pass?
Was the style of teaching of the professor not comprehensive?
Was there lack of faculty guidance, encouragement, support, and
attention?

Time Management
How long is your travel time to your school? ___________

Do
Do
Do
Do
Do
Do
Do
Do

you
you
you
you
you
you
you
you

make a master schedule for each semester?

update it weekly/daily?
allow time for exercise and socializing with friends?
get at least 6 hours of sleep each night?
study at least 2 hours for every hour in class?
get your assignments done on time?
regularly attend your classes?
spend more than 2 hours a day on social media?

Others
Have you violated a rule inside the university?

Were your culture different from that inside the university?

If your answer is Yes, specify your reason:

Final Grade in:

College Algebra:
Trigonometry:
Statics of Rigid Bodies:
Differential Equations:
Statistics and Probability: