Student Interest Survey for Housing Programs
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_______________
___Inspirational people
___Peace education
___Values clarification
___USCA 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_____________
___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
Spiritual
___Current issues in faith
___Death and dying
___Astrology
___World faith perspectives
Life Planning
___Choosing a major
___Job search strategies
___Peace Corps
___Interviewing skills
___Finding a summer job
___Work study/student jobs
___Money management
___Other______________
___Holiday Celebrations
___Exploring Ft. Collins/
Colorado
___Friendship relationships
___Environmental
Awareness
___Roommate games
___Blood drive
___Aiken Community
issues
___Volunteer opportunities
___Communication
___Other
___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
___CSRA 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
Social
___Games night
___Floor study breaks
___Floor dinners
___Floor/hall exchanges
___Effective listening skills
Human Awareness
___Exploring cultures
___Study Abroad
___International awareness
___Foreign films
___Local theater productions
___Environmental
Awareness
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.
___ (CAAB)
Community Activities & Advisory Board
___Area Representative
___Homecoming
___ Judicial Board (J-Board)
___Leadership retreats
___Other_______