Academic Responsibility is a crucial part of your success. Taking time to think how your daily moods and behaviors affect you inside class, you can develop a clear path towards success. Take a few minutes to rate how often these following factors affect your academic responsibility.

Name:  

1 = Never Doesn’t Apply    2 = Rarely    3 = About half the time    4 = Sometimes    5 = Often times

Sleep Factors

                Alarm clock doesn’t work/ doesn’t wake me up.
                1   2    3    4    5 
 

                I have a hard time getting to sleep at night.
                1   2    3    4    5 
 

                Often I am up working on homework/papers late night.
                1   2    3    4    5 
 

                I work best at night so I sleep after class during the day.
                1   2    3    4    5 
 

                I take naps often.
                1   2    3    4    5 
 

Class Factors

                I don’t like my class/classes.

                1   2    3    4    5 
 

                Class is not worthwhile.
                1   2    3    4    5 
 

                Attending class is pointless. All the notes and info is online/Blackboard.
                1   2    3    4    5 
 

                The material is too hard and I’m lost.
                 1   2    3    4    5 
 

                The professor is boring.
                1   2    3    4    5 
 

                The class is too large, no one knows if I am there.
                1   2    3    4    5 
 

                I am uncomfortable in class.
                1   2    3    4    5 
 

Family Factors

                A member of my family is sick and needs me.
              1   2    3    4    5 
 

                A member of my family has died recently.

                1   2    3    4    5 
 

                I am the responsible person for my family.
                1   2    3    4    5 
 

                It’s hard to balance family needs and school.
                1   2    3    4    5 
 

Financial Factors

                I am paying my own way through college.
                1   2    3    4    5 
 

                I lost my scholarship and have to work to stay.
                1   2    3    4    5 
 

                My work schedule conflicts with my class schedule.
                1   2    3    4    5 
 

                I have bills to pay.
                1   2    3    4    5 
 

                I have to work to support my family.
                1   2    3    4    5 
 

                I do not have a way to get to class.
                1   2    3    4    5 
 

Personal Factors

                It is hard being away from home and family.
                1   2    3    4    5 
 

                South Carolina is not what I expected.
                1   2    3    4    5 
 

                I am sad.
                1   2    3    4    5 
 

                I am not sure I what I want my major to be or what I want my degree to be.
                1   2    3    4    5 
 

                I am unmotivated.
                1   2    3    4    5 
 

                My health makes it hard for me to get to class.
                1   2    3    4    5 
 

                I get busy in the moment, I forget I have class.
                1   2    3    4    5 
 

                It is hard to juggle all the things I have on my plate.
                1   2    3    4    5 
 

                I get anxious or nervous.
                1   2    3    4    5 
 

Relationship Factors

                I just broke up with my boyfriend/girlfriend.
                1   2    3    4    5 

                I did not sleep at home and could not make it to class.
                1   2    3    4    5 
 

                I am having a hard time with my relationship right now.
                1   2    3    4    5 
 

                It is hard to know who I really am.
                1   2    3    4    5 
 

                My boyfriend/girlfriend does not understand how hard school is.
                1   2    3    4    5 
 

Social Factors

                My roommates come over at night and it is hard for me to get to sleep
                1   2    3    4    5 
 

                I like to party and go out
                1   2    3    4    5 
 

                I use alcohol and/or drugs
                1   2    3    4    5 
 

                My friends remind me there is no reason to go to class
                1   2    3    4    5 
 

                My friends do not support me
                1   2    3    4    5 
 

                Going through recruitment (rush)/ initiation takes a lot of my time

                1   2    3    4    5 
 
                Being involved in my organization has many requirements
                1   2    3    4    5 
 

                My roommate and I do not get along

                1   2    3    4    5 

                I have a negative living situation
                1   2    3    4    5   

Other things affecting my academic responsibility have not been mentioned here.