Your Name *

Your School Email *

Today's Date *

Start Time*
9:00 AM10:00 AM11:00 AM12:00 PM1:00 PM2:00 PM3:00 PM4:00 PM5:00 PM

Tutor/Instructor That Helped You *

Which class are you here for today? *

Instructor of your class for this assignment *

When is your assignment due?

What type of learning assistance did you receive? (Check all that apply) *
TutoringBasic computer helpStudy tipsAdvisingCreative adviceSpecific application program assistanceOther

Were you able to achieve the goal(s) you set out to reach? *
Yes, I achieved my goal.Yes, I am closer to my goal.No, I am confused.I'm not sure.