21. Did you have difficulty completing exams within the allotted time?
______________________________________________________________________________
22. Did you receive any special education/remedial/resource assistance/specialized tutoring in
elementary or secondary school?
Yes 
No
No
If yes, what kind of help was it and in which grades did this help take place? (be specific)
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
23. What did you find helpful (or not helpful) about this extra help?
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________24. Who in your family helped you with your homework? _____________________________
25. Approximately how many hours per night did you receive help with your homework? ____
26. Do you find it easier to learn by
listening or hearing? reading? writing? saying things out loud? working with your hands?
27. Did you have any special testing for your school problems? (This refers to psycho-educational
assessment not to regular class tests and exams.)
Yes
No
No
______________________________________________________________________________
