Doctor of Chiropractic Exit Survey

Name:

Permanent Mailing Address:

Street Address:

Street Address: (if needed)

City:

State:

Zip:

Phone (xxx-xxx-xxxx):

E-Mail:

Birthdate (mm/dd/yyyy):

Expected Grad Date:

April

August

December

Do you plan to participate in the Regular Preceptorship program?

Yes

No

Do you plan to participate in the Extended Preceptorship program?

Yes

No

Career Plans:

If you checked Associateship or Independent Contractor, please give the name of the Doctor:

If you checked Buy or Start a Practice, please tell us where:

Your Opinions - UG Program

Did you receive the concurrent Bachelor of Science degree while attending Cleveland? If so, please continue to next question. If not, please skip to question #4.

Yes

No

1. How satisfied are you about your decision to attend Cleveland University-Kansas City for your undergraduate education?

Very Satisfied

Satisfied

Dissatisfied

Very Dissatisfied

2. Overall, how satisfied are you that you received a solid foundation in the following areas of the undergraduate program?

	Very Satisfied	Satisfied	Dissatisfied	Very Dissatisfied
Sciences/Mathematics	Very Satisfied	Satisfied	Dissatisfied	Very Dissatisfied
Humanities/Communications	Very Satisfied	Satisfied	Dissatisfied	Very Dissatisfied

3. Overall, how satisfied are you that you were prepared to enter the chiropractic program?

Very Satisfied

Satisfied

Dissatisfied

Very Dissatisfied

Your Opinions - DC Program

4.(a) How satisfied are you about your decision to pursue chiropractic as a career?

Very Satisfied

Satisfied

Dissatisfied

Very Dissatisfied

4.(b) How satisfied are you about your decision to attend CUKC for your doctor of chiropractic degree?

Very Satisfied

Satisfied

Dissatisfied

Very Dissatisfied

5.(a) Overall, how satisfied are you that you received a solid foundation in the following areas of chiropractic?

	Very Satisfied	Satisfied	Dissatisfied	Very Dissatisfied
Science	Very Satisfied	Satisfied	Dissatisfied	Very Dissatisfied
Philosophy	Very Satisfied	Satisfied	Dissatisfied	Very Dissatisfied
Art	Very Satisfied	Satisfied	Dissatisfied	Very Dissatisfied

5.(b) Overall, how satisfied are you that you are prepared to enter the chiropractic profession?

Very Satisfied

Satisfied

Dissatisfied

Very Dissatisfied

6. How satisfied are you with the following:

Pre-clinical Sciences:

Basic Science Instruction

Very Satisfied

Satisfied

Dissatisfied

Very Dissatisfied

If answered Very Satisfied or Very Dissatisfied please explain why

Clinical Sciences:

Diagnostic Science Instruction

Very Satisfied

Satisfied

Dissatisfied

Very Dissatisfied

If answered Very Satisfied or Very Dissatisfied please explain why

Chiropractic Science Instruction

Very Satisfied

Satisfied

Dissatisfied

Very Dissatisfied

If answered Very Satisfied or Very Dissatisfied please explain why

Health Center Experience

Very Satisfied

Satisfied

Dissatisfied

Very Dissatisfied

If answered Very Satisfied or Very Dissatisfied please explain why

7. Please rate the quality of your education in preparing you to take the National Board Examinations:

	Excellent	Very Good	Average	Below Average	Poor
Part I	Excellent	Very Good	Average	Below Average	Poor
Part II	Excellent	Very Good	Average	Below Average	Poor
Part III	Excellent	Very Good	Average	Below Average	Poor
Part IV	Excellent	Very Good	Average	Below Average	Poor
PT	Excellent	Very Good	Average	Below Average	Poor

8. Did you take a national board review?

Yes

No

9.(a) Which national board review did you take?

9.(b) How satisfied were you with the national board review you took?

Very Satisfied

Satisfied

Dissatisfied

Very Dissatisfied

10. Did you participate in any of the off-site clinics?

Yes

No

11.(a) At which off-site clinic(s) did you participate? (choose all that apply)

Duchesne Clinic

KC CARE Clinic

Kansas City VA

11.(b) How satisfied were you with your experience at the off-site clinic(s)?

Very Satisfied

Satisfied

Dissatisfied

Very Dissatisfied

12. How satisfied are you that you are prepared to develop your own patient base?

Very Satisfied

Satisfied

Dissatisfied

Very Dissatisfied

12a. Where did you get the majority of your patients in the health center?

13. How satisfied are you that the business-related courses in the curriculum prepared you for the business aspects of a chiropractic practice?

Very Satisfied

Satisfied

Dissatisfied

Very Dissatisfied

If answered Very Satisfied or Very Dissatisfied please explain why

14. How satisfied are you with the services provided through Success Strategies to obtain a position and/or start a new business?

Very Satisfied

Satisfied

Dissatisfied

Very Dissatisfied

If answered Very Satisfied or Very Dissatisfied please explain why

15. Please rate the quality of service you saw or received from each of the following areas of the College:

	Excellent	Good	Average	Poor	N/A
Academic Support and Access Services	Excellent	Good	Average	Poor	N/A
Business Office	Excellent	Good	Average	Poor	N/A
Campus and Alumni Relations	Excellent	Good	Average	Poor	N/A
Clinic Support Staff	Excellent	Good	Average	Poor	N/A
Financial Aid	Excellent	Good	Average	Poor	N/A
Information Technology (IT)	Excellent	Good	Average	Poor	N/A
Library	Excellent	Good	Average	Poor	N/A
Maintenance	Excellent	Good	Average	Poor	N/A
Registrar's Office	Excellent	Good	Average	Poor	N/A
Student Council	Excellent	Good	Average	Poor	N/A

**If you would like to discuss any issues/concerns with the Vice President of Campus and Alumni Relations, or another University administrator, please contact Jalonna Bowie at 913-234-0681 or jalonna.bowie@cleveland.edu to set up an individual appointment.