Electro-Mechanics Program Interest Survey
Help us understand your interest in our Electro-Mechanics Program by completing this survey.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
What is your current educational status?
*
High School Student
College Student
Graduate
Working Professional
Other
How did you hear about the Electro-Mechanics Program?
*
Please Select
School Counselor
Website
Social Media
Friend/Family
Other
Please rate your interest in the Electro-Mechanics Program.
*
1
2
3
4
5
Which areas of electro-mechanics are you most interested in? (Select all that apply)
*
Robotics
Automation Systems
Electrical Engineering
Mechanical Engineering
Industrial Maintenance
Other
Which learning format do you prefer for this program?
*
In-person
Online
Hybrid (Combination of in-person and online)
Please indicate your level of agreement with the following statements about the Electro-Mechanics Program.
*
Rows
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
I believe this program will help my career.
1
2
3
4
5
I am confident I can succeed in this program.
6
7
8
9
10
I am interested in hands-on learning experiences.
11
12
13
14
15
Do you have any prior experience with electro-mechanical systems?
*
Yes
No
If yes, please briefly describe your experience.
What do you hope to achieve by joining the Electro-Mechanics Program?
*
Please provide any additional comments or questions.
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