Parent Assessment for College Help

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Name
Address
Address 2
City
State
Postal Code
email
College
Major
Year (Freshman, etc)
Date of Birth
Phone
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Does Your Child Need College Coaching? Below are a number of issues that are common for students who are having difficulty in college. Please rate each question according to the degree to which you agree or disagree with the statement as it pertains to your child’s situation:
		Disagree Strongly	Slightly Disagree	Agree	Agree Strongly
	MY CHILD:
1.	is overwhelmed by the amount of work expected.
2.	personal life has priority over his/her studies.
3.	does not have specific, long term academic and career goals.
4.	has not chosen a major field of study.
5.	has problems with reading, writing, speaking or listening.
6.	dislikes his/her professors.
7.	is having difficulty adjusting to college life.
8.	does not like the college he/she is attending.
9.	does not have the academic skills for success in college.
10.	is seriously considering dropping out of college.

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