Graduate Exit Interview
Name:
Permanent Mailing Address: (the address where you want alumni mailings to go)
Street Address:
Street Address: (if needed)
City:
State:
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip:
Phone:
E-Mail:
Birthdate:
Expected Grad Date:
April
August
December
Do you plan to participate in the Extended Preceptorship program?
Yes
No
Career Plans:
Associateship
Join Existing Practice
Buy a Practice
Start Own Practice
Other
If you checked Associateship, please give the name of the Doctor:
If you checked Join Existing Practice, please tell us where:
If you checked Buy or Start a Practice, please tell us where:
Your Opinions
1.(a) How satisfied are you today about your decision to pursue chiropractic as a career?
Very Satisfied
Satisfied
Neutral
Dissatisfied
Very Dissatisfied
(b) How satisfied are you today about your decision to attend CCC for your doctor of chiropractic degree?
Very Satisfied
Satisfied
Neutral
Dissatisfied
Very Dissatisfied
2. (a) Overall, how satisfied are you that you received a solid foundation in the science/philosophy/art of chiropractic?
Very Satisfied
Satisfied
Neutral
Dissatisfied
Very Dissatisfied
(b) Overall, how satisfied are you that you are prepared to enter the chiropractic profession?
Very Satisfied
Satisfied
Neutral
Dissatisfied
Very Dissatisfied
OFFICE USE ONLY
3. How satisfied are you with the following:
Very Satisfied
Satisfied
Neutral
Dissatisfied
Very Dissatisfied
Basic Science Instruction
Diagnostic Science Instruction
Chiropractic Science Instruction
Health Center Experience
OFFICE USE ONLY
4. Please rate the quality of your preparation
by the College
to take the National Board Examinations:
Excellent
Very Good
Average
Below Average
Poor
Part I
Part II
Part III
Part IV
PT
5. How satisfied are you with the Preceptorship Program?
Did not Participate
Very Satisfied
Satisfied
Neutral
Dissatisfied
Very Dissatisfied
6. How satisfied are you with the TMC/KC Free Clinic/VA Hospital programs?
Did not Participate
Very Satisfied
Satisfied
Neutral
Dissatisfied
Very Dissatisfied
7. How satisfied are you with the services the College provided to help you learn how to develop a patient base?
Very Satisfied
Satisfied
Neutral
Dissatisfied
Very Dissatisfied
8. How satisfied are you with the services the College provided to help you obtain a position and/or start a new business?
Very Satisfied
Satisfied
Neutral
Dissatisfied
Very Dissatisfied
OFFICE USE ONLY
9. 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
Admissions
Alumni Relations
Career Resources
Cashier's Office
Clinic Business Office
Financial Aid
Library
Maintenance
Postgraduate Education
Student Services
Registrar
OFFICE USE ONLY
10. How do you plan to continue your involvement with the College? - Mark as many as applicable.
Refer Students
Serve as a Mentor
Serve as a Preceptor
Speak to Student Clubs
Attend Seminars
Attend Events
Use Library Services
Research Projects
No Plans
11. (a) Please describe what you believe to be the strongest educational area of the College:
(b) Please describe what you believe to be the most positive aspect of your time at the College:
12. (a) Please describe what you believe to be the weakest educational area of the College:
(b) Please describe what you believe to be the least positive aspect of your time at the College:
13. Please use this space to record any comments you may have about the College:
OFFICE USE ONLY