1. I agree/disagree that since coming to Caltech:

2. In the past week, I spent ______ hours/week on

a. Coursework: hours/week
b. Research: hours/week

3. Rank your top three sources of stress from 1 (most stressful) to 3.
[Type the numerals 1, 2, and 3 into the appropriate textbox.]

Section B. Advisor/Advisee Relationship

Section A: Academic and Social Climate

1. Have you changed advisors (other than during rotations) since you came to Caltech?

No
Yes, once
Yes, more than once

2. If yes, please specify the reason(s) for changing advisors that best describes your decision (check all that apply):

Change of research interests
Advisor became unavailable (death, moved elsewhere)
I was no longer able to carry out the research due to sickness or injury
Lack of progress on a research project
Difficulty interacting with the lab group
Difficulty interacting with the advisor
Gender/sexual harassment in the group or workplace
Harassment (other than gender/sexual) or hostile environment in the group or workplace
Mismatch of work style between yourself and your group and/or advisor
Project ended or lost funding
Other (please specify):

I answered "No" to Question 1.

3. Do you currently have more than one advisor?

No
Yes

4. I agree/disagree that my current primary advisor . . .

5. On average, I meet with my advisor about my project once or twice:

Daily
Weekly
Monthly
Per term
Per year

6. I feel I meet with my advisor:

Too often
Often enough
Not often enough
Don't know

Section A: Advisor/Advisee Relationship | Section B: Academic and Social Climate

1. When I graduate from Caltech, I want to be proficient in the following areas:

2. My advisor supports my development in the following areas:

3. I will probably spend ________ years at Caltech for my degree.

3 or fewer
4
5
6
7 or more
Don't know

4. The amount of time needed for me to graduate is:

Less than I expected
About what I expected
More than I expected
Don’t know

5. When I started grad school, I most wanted to pursue a career in:

6. Now I most want to pursue a career in:

8. If answer to questions 5 and 6 are different, please rank the three factors that most influenced your decision (1=most influence). [Type the numerals 1, 2, and 3 into the boxes.]

Section A: Academic and Social Climate | Section B: Advisor/Advisee Relationship

Section C: Educational Experience

30% complete

1. How many TA assignments have you had at Caltech?

0
1-2
3-4
5-6
7-8
9+

2. How many students do you think followed the Honor Code in issues pertaining to the class (e.g., homework, exams, reserved books in the library) when you were:

3. At Caltech, have you ever:

4. Does the Honor Code apply to the following areas?

Section E. Cost of Living

Section A: Academic and Social Climate | Section B: Advisor/Advisee Relationship

Section C: Educational Experience | Section D: Honor Code

1. In the past year, what was your gross (pre-tax) stipend/salary?

under $15,500
$15,500- 17,750
$17,750- 20,000
$20,000- 22,250
$22,250- 24,500
over $24,500

2. In the past year, what was your primary source of funding?

Teaching assistantship (TA)
Research assistant (RA)
Outside fellowship (personally applied for)
In-house Caltech fellowship
Work at a faculty member’s company
Other (please specify):

3. How many years have you received an outside fellowship (providing more than $10,000) to support you at Caltech (excluding tuition)?

4. Do you have a source of annual income (providing more than $1,000) other than your stipend (if yes, check all that apply)?

No
Yes, from investments/interest
Yes, from outside job
Yes, from parents/family
Yes, from partner
Yes, from other (please specify):

6. In the past year, my stipend:

Increased
Stayed the same
Decreased
Don't know
Not applicable

7. I currently live:

In Caltech-owned housing
In non-Caltech owned housing

8. I currently split my rent with ______ other people:

0
1
2
3
4+

9. The amount I pay for rent a month is $ (please round to dollars).

12. I am satisfied with Caltech Dining Services based on:

Section F. Experiences and Perceptions of Harassment, Diversity and Discrimination

Section A: Academic and Social Climate | Section B: Advisor/Advisee Relationship

Section C: Educational Experience | Section D: Honor Code

Section E: Cost of Living

50% complete

At Caltech, how often have you experienced each of the behaviors listed below (a-c) based on your: