Name (optional):
Year/Sec:
Email:
Questionnaire Instructions: Rate the yourself on the following scale by assigning a numerical rating according to the
following key:
A – Never
B – Seldom
C – Sometimes
E – Always
2. I know what habits I have that keep me from using my time effectively. A B C D E
6. I place a priority code next to all items on my daily “to do” list. A B C D E
14. I create due dates for tasks which don’t have predetermined A B C D E
deadlines.