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Questionnaire

Include a completed copy of this Questionnaire with all future papers of two pages or longer. You need not include a questionnaire with rough drafts. Note the bold.

 

____ I understand that this questionnaire will be marked incomplete if it lacks a name, a thesis, and three of its author’s previously-discovered grammatical problems.

 

Your Name:

____ This paper was written by myself, only.

____ I understand the definitions of plagiarism given to me in the first week of class. For more on academic integrity, visit http://cai.ucdavis.edu/aip.html.

The persons in class who offered comments on this paper were:

Outsiders who offered comments on this paper were (specify relationship):

When using sources, I used the following citation method: _______; I learned this method from____________ (Academic essays usually require either the MLA or APA format. Avoid footnotes.)

I would estimate that I divided up my time/effort on this paper as follows:

____ Researching                        ____ Thinking                        ____ Prewriting

____ Writing                                    ____ Revising                        ____ Proofreading

I read the absolute final draft of my essay ____ times before submitting it.

The assertive thesis of this essay could be quoted or summed up as the following:

 

As I revised this essay, I paid special attention to

____ Using apt and logical transitions

____ Eliminating “to be” verbs

____ Avoid problematic filler words like “thing,” “able,” and “ability.”

____ Subject/verb or Subject/pronoun agreement

____ Clarity

____ Unity

____ Economy

____ Grammatical Correctness

____ Three grammatical problems that hindered my (l)(p)ast essay(s) were:

____ I have identified, isolated and eliminated relevant grammar and usage problems.

____ My essay includes a process log, title, author, date, class, and word count.

____ All the quotations in this essay are introduced, attributed and integrated.

____ I have kept in mind the parameters and requirements of the assignment while revising this essay.

Additional Comments?  (Use back of this sheet as needed)

I affirm that the above statements are true.

Signature of Author ___________________

Date Signed _________________________

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