LMS Report Form
Report issues, provide feedback, or suggest improvements for the Learning Management System.
Your Full Name
*
First Name
Last Name
Your Email Address
*
example@example.com
Role in the LMS
*
Please Select
Student
Instructor
Administrator
Other
LMS Module or Area Affected
*
Please Select
Course Content
Assignments
Quizzes/Exams
Grades
User Profile
Discussion Forums
Other
Type of Report
*
Bug/Technical Issue
Feature Request
General Feedback
Severity of the Issue
*
Critical (blocks use)
Major (significantly impairs use)
Minor (does not affect main functionality)
Suggestion/Feedback
Date and Time Issue Occurred
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
How often does this issue occur?
*
Every time
Sometimes
Rarely
First time
Steps to Reproduce the Issue (if applicable)
Detailed Description of the Issue or Feedback
*
Upload Screenshots or Supporting Files
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Your Suggestions for Improvement
Rate Your Overall Satisfaction with the LMS
1
2
3
4
5
Submit Report
Should be Empty: