Academic Program Needs Assessment Form

Academic Program Needs Assessment Form
Help us understand your academic program needs, preferences, and suggestions to better serve you.
Full Name
First NameLast Name
Email Address
example@example.com
Which academic areas or subjects are you most interested in?
Other
How would you rate your need for new or expanded academic programs in your area of interest?
Please indicate your preferred learning format(s):
Other
How important are the following factors when choosing an academic program?
Rows Not Important Somewhat Important Important Very Important
Program reputation
Program cost
Flexible scheduling
Career relevance
Availability of support services
Please indicate your availability for classes (select all that apply):
Other
How satisfied are you with the current delivery methods offered by our institution?

1
2
3
4
5
1 is Very Dissatisfied, 5 is Very Satisfied
Please rate your need for the following support services:
Rows No Need Some Need High Need
Academic advising
Tutoring
Career counseling
Technology support
Library resources
Please share any additional comments or suggestions regarding academic programs or support services.
Should be Empty:

Select theme:

Rows	Not Important	Somewhat Important	Important	Very Important
Program reputation
Program cost
Flexible scheduling
Career relevance
Availability of support services