Culture shock is real and has a significant role in a student’s ability to adjust to their new environment. As a result, someone may feel homesickness, depression, and/or anxiety which can present stressors that make it difficult to do daily tasks. Stressors can become barriers to the teaching and learning process. A question that should be asked when planning orientation is "How can one design an orientation program while being cognizant of cultural distinctions, mannerisms and challenges?"