College Student Service Voting Form
Vote and provide feedback on campus services to help improve your college experience.
Full Name
*
First Name
Last Name
Student Email Address
*
example@example.com
Year of Study
*
Please Select
Freshman
Sophomore
Junior
Senior
Graduate Student
Other
Department or Major
*
Which on-campus services have you used this semester? (Select all that apply)
*
Library
Cafeteria/Food Services
Student Counseling
Health Center
Sports Facilities
Career Services
IT/Tech Support
Other
Please rate your satisfaction with the following campus services:
*
Rows
Very Dissatisfied
Dissatisfied
Neutral
Satisfied
Very Satisfied
Library
1
2
3
4
5
Cafeteria/Food Services
6
7
8
9
10
Student Counseling
11
12
13
14
15
Health Center
16
17
18
19
20
Sports Facilities
21
22
23
24
25
Career Services
26
27
28
29
30
IT/Tech Support
31
32
33
34
35
Overall, how would you rate the quality of campus services?
*
Poor
1
2
3
4
5
6
7
8
9
Excellent
10
1 is Poor, 10 is Excellent
Which campus service do you believe needs the most improvement?
*
Library
Cafeteria/Food Services
Student Counseling
Health Center
Sports Facilities
Career Services
IT/Tech Support
Other
Please explain your choice above or suggest specific improvements for any campus service.
Would you recommend these campus services to fellow students?
*
Yes
No
Maybe
Any additional comments or suggestions?
Submit Vote
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