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What is your current grade point average (GPA)?
 
1.0-1.5
 
1.6-2.0
 
2.1-2.5
 
2.6-3.0
 
3.1-3.5
 
3.6-4.0
 
Greater than 4.0
 
Less than 1.0
 
 
 
Have you withdrawn from Jackson State University at any time since enrolling? If yes was this withdrawal due to a past or current relationship.
 
Yes
 
No
 
Somewhat
 
 
 
Have you ever had to repeat any courses because you received a failing grade, if so how many?
 
1
 
2
 
3
 
More than 3
 
 
 
What is your current classification?
 
Freshmen
 
Sophomore
 
Junior
 
Senior
 
Graduate Student (1st time)
 
 
 
If you have repeated any courses was it due to problems within your past or current relationship?
 
Yes
 
No
 
Somewhat
 
 
 
What is your age?
 
18
 
19
 
20
 
21
 
22
 
23
 
24
 
 
 
How long have you been attending Jackson State?
 
1 year
 
2 years
 
3 years
 
more than 4 years
 
 
 
Have you ever changed your major or skipped classes in order to get away from a past or current partner?
 
Yes
 
No
 
 
 
As a current student have you ever sought help for dating violence at the Latasha Norman Center or from professors and other school personnel?
 
Yes
 
No
 
 
 
As a current student, have you ever had to request extra time on assignments or failed an exam due to conflict (e.g.yelling, showing, or stalking) between you and a past or current partner?
 
Yes
 
No