University Program Intolerance Assessment Form
Please complete this assessment to help us understand any incompatibility or intolerance issues you may be experiencing within your university program.
Full Name
*
First Name
Last Name
Student ID (do not enter sensitive government-issued IDs)
*
Program of Study
*
Please Select
Engineering
Business
Sciences
Arts & Humanities
Social Sciences
Other
How would you rate your overall satisfaction with your current program?
*
1
2
3
4
5
Please indicate how often you experience the following issues in your program.
*
Rows
Never
Rarely
Sometimes
Often
Always
Difficulty understanding course material
1
2
3
4
5
Lack of interest in subjects
6
7
8
9
10
Poor interaction with faculty
11
12
13
14
15
Feeling isolated or unsupported
16
17
18
19
20
Mismatch with program expectations
21
22
23
24
25
To what extent do you agree with the following statements?
*
Rows
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
I feel my skills are suited to this program.
26
27
28
29
30
The teaching style matches my learning preferences.
31
32
33
34
35
I am motivated to complete this program.
36
37
38
39
40
I have access to adequate support resources.
41
42
43
44
45
The program aligns with my career goals.
46
47
48
49
50
Which of the following best describes your primary challenge in the program?
*
Academic difficulty
Social/environmental issues
Interest mismatch
Career misalignment
Other
How severe do you consider your incompatibility with the program?
*
Not at all severe
1
2
3
4
5
6
7
8
9
Extremely severe
10
1 is Not at all severe, 10 is Extremely severe
What changes or support would help address your incompatibility or intolerance issues?
Please provide any additional comments or context regarding your experience.
Submit Assessment
Should be Empty: