Explanation: Dear students, this form has been prepared to help us get to know you better and support you in areas where you need assistance. Please first fill out the requested demographic information. Then, read and evaluate the statements below, and mark the statements that apply to you with an (X). Your answers will remain confidential. If you fill it out honestly, we will get to know you better. Therefore, our suggestions for solutions to your needs will be more informed and consistent. Thank you.