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Google Site - Ed Camp

This is a sample survey for you to review

We would like to know about your experience of being enrolled in this program in our university/school. Please spare a few minutes to complete this brief survey. We assure you that your responses will be kept confidential, so please make your responses candid and honest.

1. Please write your full name. (Optional)

2. School Email

3. What class hour are you in?

  1st
  2nd
  3rd
  4th
  5th
  6th

4. Why did you choose this elective class?

  Good reputation
  Superior program curriculum
  Counselor suggested
  A friend had recommended
Other, please specify.

5. What is your opinion of the class in overall terms?

  It was truly enriching and exceeded all my expectations.
  It was enriching and met my expectations.
  It was somewhat enriching and somewhat met my expectations.
  It was mediocre and failed to meet my expectations.

6. Please select the option that best describes your opinion with regard to the following statements on the program.

	Strongly agree	Agree	Neither agree nor disagree	Disagree	Strongly disagree
The program was stimulating and challenging.
The program curriculum was rich and work-oriented.
There was a good variety of courses to choose from.

7. Please select the option that best describes your opinion with regard to the following statements on the faculty.

	Strongly agree	Agree	Neither agree nor disagree	Disagree	Strongly disagree
The faculty had up
to
date knowledge and skills.
The faculty were perceptive and understood the individual needs of the students.
The faculty demonstrated enthusiasm for their subjects as well as for teaching.
The faculty took a keen interest in the professional development of the students.
The faculty were accessible outside of the classroom.
The faculty evaluated assignments regularly and gave feedback on students' performance at regular intervals.

8. How would you rate the following?

	Very good	Good	Average	Poor	Very poor
Classroom resources
Library
Computing resources
Sports facilities
Food services
Career counselling and placement services
Financial assistance

9. Did you ever experience or notice any of the following kinds of discrimination in the class?

  Gender
  Racial
  Religious
  Language
  Disability
  Sexual Orientation

10. What is/are your reason(s) for leaving the program?

  Completed the program successfully
  Enrollment in a different program in our school/college/university
  Transfer to another educational instituion
  Relocation to a distant place
  Family obligations
  Inability to meet tuition costs
  Health problems
  Work obligations
Other, please specify.

11. What are your future plans?

  Pursue higher studies in our school/college/university
  Pursue higher studies in another education institution
  Take up work
  Undecided
  Not applicable
Other, please specify.

12. What is the one thing that you liked best and the one thing that you liked least about the course?

13. If you have any suggestions regarding improvements that can be made to the program, please write them in the space below.

14. Would you like to recommend this class to anyone?

  Yes
  No
  Can't say
If no, please explain why not.