Rough draft for the feedback form, part 2

After couples of hours working, this is my feedback form for the writing center. It's based heavily on the form used by the Academic Skill Center, but it incorporates some specific aspects of the writing center.

1. What was the class that your writing assignment was for?
Abstract Math Accounting American Government Biology Business Statistics Calculus Chemistry Chinese Computer science Economics Education Elem. Symbolic Logic Environmental Studies Evolution and Diversity of Life Finance Finite Math French Genetics Geography German Greek Inorganic Chemistry International Relations Latin Linear Algebra Macroeconomics Management Marketing Methods and analyses Microeconomics Music Organic Chemistry Other - Please indicate below Physics Psychology Public Policy Russian Social Science Statistics Software tools and applications Spanish Stress management Study skills Time Management
2. If you selected "Other" in question 1, please explain.


3. The tutor helped me to strengthen my writing skills (i.e. grammar, sentence structure, critical thinking, thesis formulation, essay organization, etc.)
Strongly Agree Agree Feel Neutral Disagree Strongly Disagree
4. The consultant was willing to provide a variety of explanations and approaches to help me explore my writing assignment.
Strongly Agree Agree Feel Neutral Disagree Strongly Disagree

5. As a result of my work in the Writing Center, I was able to (please check all that apply):
Improve my writing assignment
Resolve a particular need or concern of my writing assignment
Develop a strong idea on how to revise my writing assignment
Learn an effective writing strategy
Improve my writing skills
Better understand how to complete a writing assignment
Other (please specify)
6. Do you have a clear idea of how you are going to revise your writing assignment?

7. Do you feel motivated to go back and work on your writing assignment?

8. How helpful do you feel these sessions have been to you?
1 - Extremely helpful 2 - Helpful 3 - Feel Neutral 4 - Not very helpful 5 - Not at all helpful
9. How did you find out about the Writing Center?
Faculty Referral Student Mailings TV advertisement Flyers SpiderBytes Other - please describe below
10. If you selected "Other" in question 7, please explain.


11. My knowledge and understanding of the the writing process has improved because of my efforts invested in writing consulting. Strongly Agree Agree Feel Neutral Disagree Strongly Disagree
12. My personal writing is more effective because of the time invested inwriting consulting. Strongly Agree Agree Feel Neutral Disagree Strongly Disagree
13. I feel more confident about my ability to succeed with a writing assignment as a result of my visits to the Writing Center. Strongly Agree Agree Feel Neutral Disagree Strongly Disagree