Académique Documents
Professionnel Documents
Culture Documents
The purpose of this survey is to help me (your instructor) understand your learning needs, interests, and
preferences better in order to design and develop more effective lessons.
Name: ___________________________________________________
Date: ____________________
Readiness
Rate your level of confidence in the following academic areas by marking one selection in the grid for each
subject row listed below.
Totally
Confident
Somewhat
Confident
Neutral
Not Very
Confident
Not
Confident
At All
R1. Reading
R2. Writing
R3. Mathematics
R4. Physics
R5. Chemistry
R6. Using Computers
R7. Speaking Bahasa Indonesia
R8. Memorizing Information
R9. Taking notes
Interests
In1. How different is your culture and traditions from the culture at STKIP Surya?
Please check only one.
Completely Different
Somewhat Different
Somewhat Similar
Very Similar
Not Sure
I2. How different is your culture and traditions from the culture in the city of Jakarta?
Please check only one.
Completely Different
Somewhat Different
Somewhat Similar
Very Similar
Not Sure
In3. Please describe unique aspects of your home culture and traditions that your instructors should know
about.
Please write your answer below. ____________________________________________________________
___________________________________________________________________________________________
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___________________________________________________________________________________________
___________________________________________________________________________________________
In4. What activities did you enjoy in your spare time at home before coming to STKIP Surya?
Please write your answer below. ____________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
In5. Please describe problems in your hometown that you would like to solve after graduating from SKTIP
Surya.
Please write your answer below. ____________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
In6. Please describe how you maintain your culture and traditions while attending STKIP Surya?
Please write your answer below. ____________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
Learning Profile
L1. What types of learning activities do you like best?
Please check all that apply.
Whole class activity
Small group activity (teams or pairs of students)
Project based learning activity/Problem based learning activity
Individual study activity
One-on-One tutoring
Not sure
Other: Please Explain ___________________________________________________
L2. What types of learning activities do you like least?
Please check all that apply.
Whole class activity
Small group activity (teams or pairs of students)
Project based learning activity/Problem based learning activity
Individual study activity
One-on-One tutoring
Not sure
Other: Please explain _______________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
_______________________________________________________________________________
L3. How do you think you learn best?
Please check all that apply.
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L4. How do you prefer to show what you have learned in a class?
Please check all that apply.
Homework
Essays or reports
Chapter or Unit Tests
Surveys
Projects
Not sure
Other: Please explain _______________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
_______________________________________________________________________________
L5. How much do you agree or disagree with the statement? It is necessary to prepare for class ahead of
time.
Please check only one.
Strongly Disagree
Somewhat Disagree
Neutral
Somewhat Agree
Strongly Agree
L6. How frequently do you prepare for class?
Please check only one.
Very Rarely
Somewhat rarely
Neutral
Somewhat Frequently
Very frequently
L7. How do you usually prepare for class?
Please check all that apply.
Pre-read assigned text materials
Review past materials
Make a list of questions before class
Find information on the World Wide Web (Internet)
Study with peers
Individual study
I don't prepare for class
Not sure
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L15. If you are struggling in a class, in what ways you prefer to be helped?
Please check all that apply.
Receive help immediately in class
Receive help privately outside of class
Receive help one to one
Receive help through emails
Not sure
Other: Please explain _________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
L16. If you are struggling in a class, whose help do you prefer? *
Please check all that apply.
Instructors
Teaching Assistants
Peers
Not sure
Other: Please explain _________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
L17. How much do you agree or disagree with the statement? When I perform very well in a class, I like to be
recognized.
Please check only one.
Strongly Disagree
Somewhat Disagree
Neutral
Somewhat Agree
Strongly Agree
L18. If you perform well in a class, in what ways do you prefer to be recognized?
Please check all that apply.
Recognized immediately in class
Recognized outside of class
Recognized face to face
Recognized through emails
Not sure
Other: Please explain _________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
L19. If you perform well in a class, by whom do you prefer to be recognized?
Please check all that apply.
Instructors
Teaching Assistants
Peers
Not sure
Other: Please explain _________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
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