Student Interest Survey

Name______Birthday______

Room______Year in School______

This survey is designed to best help us meet your needs as a resident in our Residence Halls. Our programming philosophy is based on a concept that encompasses all aspects of life with the ultimate goal of developing a balanced lifestyle. Please check those programs or activities in which you would be interested in participating:

Emotional

___Assertiveness Training

___Gay/Lesbian/Bisexual

Issues

___Acquaintance Rape

___Relationships

___Interracial/Interfaith relationships

___Avoiding Burnout

___Adjusting to College Life

___Communication skills

___Dealing with divorce

___Suicide Intervention

___Interpersonal conflict

___The Alcoholic family

___Parent/Family

relationships

___Stress Management

___Long distance

relationships

___Other______

Spiritual

___Current issues in faith

___Death and dying

___Astrology

___World faith perspectives

___Inspirational people

___Peace education

___Values clarification

___CSU Religious

organizations

___Meditation

___Cult Awareness

___Music/Art Appreciation

___Other______

Physical

___Hiking/Camping

___Ice skating

___Sexually Transmitted

Diseases

___Bicycle repair workshops

___Nautilus/weight lifting

___Self defense

___Tennis

___Rockies/Broncos/Nuggets

Avalanche games

___Running

___Arts and crafts

___CPR/First Aid Training

___Massage workshops

___Aerobics

___Intramural Sports teams

___Swimming

___Ski trips

___Rollerblading

___Alcohol/Drug Awareness

___Bicycling trips

___Survival techniques

___Health and nutrition

___Eating disorders

___Canoeing

___Birth control

___Body Image

___Other______

Intellectual

___Time management

___Current issues

discussions

___Student legal discussions

___Test Anxiety

___Computers

___Faculty interaction in hall

___Photography workshop

___Public speaking skills

___How to use the Library

___Study Skills

___Test taking tips

___Other______

Life Planning

___Choosing a major

___Job search strategies

___Peace Corps

___Interviewing skills

___Finding a summer job

___Career services on

campus

___Graduate school options

___Internships/volunteer

service

___Financial aid information

___Income tax preparation

___Balancing career/lifestyle

___Goal setting

___Resume writing

___Professional panel

___Work study/student jobs

___Money management

___Other______

Social

___Games night

___Floor study breaks

___Floor dinners

___Floor/hall exchanges

___Effective listening skills

___Holiday Celebrations

___Exploring Ft. Collins/

Colorado

___Friendship relationships

___Environmental

Awareness

___Roommate games

___Blood drive

___Fort Collins Community

issues

___Volunteer opportunities

___Communication

___Other

Human Awareness

___Exploring cultures

___Study Abroad

___International awareness

___Foreign films

___Local theater productions

___Environmental

Awareness

___Affirmative action

___Ethnic restaurant trips

___Museum visits

___Traveling abroad

___Racism/racial awareness

___ Voter Registration

___Multicultural potluck

dinner

___Exploring prejudices

___Cultural dance

___Ballet/opera

performances

___World music

___Ft. Collins GLBT

community

___Recycling

Sexual

___HIV/AIDS Awareness

___Relationship Issues

___Safe Sex

___Sexual Assault

___Sexuality Issues

___Protecting against STDs

___Creative Dating Ideas

___Human Sexuality

Leadership

___Assertiveness

___Leadership skills

___Balancing your life

___Running an effective

meeting

___Conflict Management

___Being an Effective Leader

___Leadership Retreats

___Personal Leadership

Would you be willing to help lead or organize any of the above programs? Yes No

Which ones? ______

______

In order to enhance your experience of living in the Residence Halls, we encourage you to become more involved in Hall groups or programs. Please mark the groups or programs that you would be interested in being involved with or learning more about.

___Hall Council/Government

___Floor Committees

___Homecoming

___Floor Representative

___Residence Hall Association (RHA)

___Residence Hall Judicial Board (J-Board)

___Leadership retreats

___Other______