Welcome!

Since it is your first time with us, we have just a few questions to help us best advise you…

Name: First David Last Adkison Preferred Name: David

Living arrangement (mark x): On Campus ✔ Off Campus Fraternity House

At Home Other ✔
Non-academic work per week: # of hours per week 45 Place of work: Chipotle

Personal and Financial Academic

New independent status Selecting a major
Relationship worries/breakup Program/major admissions requirements
Family issues/concerns Preferred major not offered
Family financial hardship
Not happy with chosen major
Roommate isses
Learning disability
Housing problems
Poor concentration
Loneliness/socially uncomfortable/shy
Inadequate reading/writing/math/science skill
High anxiety
Inferior academic preparation
Lack of sleep
Illness/Health Problems Ineffective studying

Dislike College and Studying Dislike Poor time management

Auburn University Unclear educational goals

Worried about money Negative attitude
Financial aid requirements Other
Work-related obstacles
Other
 Reflect on the past week. Indicate which best describes your current situation.

Never Rarely Sometimes Frequently Almost always

I feel hopeless about the future

I feel worthless

I have thoughts of ending my life

I feel angry enough at work/school to

do something I regret

I believe emotional or psychological

issues may be affecting my grades

I believe drug and/or alcohol use may

be affecting my grades

Current Major:

Other Majors or Career Fields I may be

interested in: