UNIVERSITY OF HOUSTON-DOWNTOWN

STUDENT OPINION OF SUPPLEMENTAL
INSTRUCTION

Your opinion regarding the Supplemental Instruction (SI)
part of the course is important to the university and your instructor. Please
take a few minutes to complete this survey.

DIRECTIONS

1.
Use a #2 pencil.

2.
Do not write your
name on the survey.

3.
Read each
question carefully and answer honestly.

4.
Do not discuss
your responses with your classmates during the survey. We are interested in
your INDIVIDUAL opinion.

5.
If you cannot
respond to a question, leave it blank.

6.
Please write
additional comments related to the questions on this survey in the space
provided at the end of the survey (on the back).

Information collected from the class surveys will be
given to your instructor and SI AFTER the semester ends. Thank You.

SECTION I:  Background Questions

1.     My classification is:

(a) Freshman           (b)
Sophomore      (c) Junior
(d)
Senior               (e)
Post-Baccalaureate

2.    This course is:

(a)
Required in my major  (b) Required,
not in my major  (c) An elective

3.    The grade I currently have in this course
is:

(a) A       (b) B       (c) C        (d) D/IP     (e) F

4.       My
GPA to date is:

(a)
Under 2.0         (b)
2.0-2.74             (c)
2.75-3.49           (d)
3.5 or above    (e) Not
known

SECTION II:  Questions About the SI Sessions

If you have attended even
one SI session, please begin here. If not, skip to section IV on the back.
Use
the following scale, unless the question indicates otherwise:  (a) strongly agree  (b) agree  (c) neither agree nor disagree  (d) disagree  (e) strongly disagree

5.
The SI sessions have been helpful

6.
I believe I did better in this class because of attending SI sessions

7.
I would like to take other classes that provide SI leaders

8.  As a result of SI, I am a better student

9.  How many sessions have you attended?

(a) 1-2     (b) 3-4     (c)
5-6     (d) 7-10   (e) more than 10

10. Give the SI
sessions a final grade.

(a)
A       (b)
B       (c)
C        (d)
D       (e)
F

SECTION III:  Questions About the SI Leader

11. It was
helpful to have the SI leader in class with us

12. The SI leader was
knowledgeable about the subject matter

13. The SI
leader was prepared for study sessions

14. The SI
leader was concerned about my learning

15. The SI
leader helped me prepare for tests/homework/projects

SECTION IV: If you have NOT attended any SI sessions,
please begin here.

16. Please indicate
main the reason you have not attended SI sessions.

(a)
I wanted to but couldn’t. The session times conflicted with other courses
or work.

(b)
I didn’t feel it was necessary.

(c) I have been to similar kinds of study sessions and didn’t find them
helpful.

(d) I intended to but couldn’t find the time.

(e) Other, please explain. _________________________________________________________________

SECTION V:  Questions About Procedure

17. Other students made
comments while the class was taking this survey.                                        (a)
Yes   (b) No

18. The instructor or
SI was present while the class was responding to this survey.                         (a)
Yes   (b) No

19. Please add your
written comments related to the questions on this survey in the next section.

SECTION VI: Comments

SEMESTER:
____________    INSTRUCTOR:
______________________   COURSE & CRN: _____________

If you are interested in becoming an SI leader for
this or other courses, please contact
the SI Director in Room S-405. His name is Michael Judge. His email is [email-masked], and his phone number is
713-221-8985.