College of Health Sciences Exit Survey

Name:

Permanent Mailing Address: (the address where you want alumni mailings to go)

Street Address:

Street Address: (if needed)

City:

State:

Zip:

Phone (xxx-xxx-xxxx):

E-Mail:

Birthdate (mm/dd/yyyy):

Degree Awarded:

Associate of Arts in Biological Science

Associate of Applied Science in Occupational Therapy Assistant

Associate of Applied Science in Radiologic Technology

Associate of Arts in Biological Sciences

Bachelor of Science in Human Biology

Year Undergraduate degree awarded:

Term Undergraduate degree awarded:

April

August

December

Do you plan to pursue further education in a Health Sciences field?

Yes

No

If so, please indicate degree/program.

Do you plan to seek employment upon graduation?

Yes

No

If so, please indicate job title

If you plan to pursue further education in health sciences, please indicate the applicable health science program, the name of the institution you plan to attend and if you are currently accepted to the institution.

Name of Institution:

Currently Accepted to that Institution:

Yes

No

Your Opinions

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?

	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 are prepared to enter an advanced health related program?

If answered Very Satisfied or Very Dissatisfied please explain why

4.(a) If you plan to take or have taken a professional entrance exam (i.e. MCAT, GRE, PCAT, VAT, etc.) please state which exam.

4.(b) Score on Exam (if taken):

4.(c) Please rate the quality of your education in preparing you to take the exam:

	Excellent	Very Good	Average	Below Average	Poor	N/A
Biology	Excellent	Very Good	Average	Below Average	Poor	N/A
Chemistry	Excellent	Very Good	Average	Below Average	Poor	N/A
Physics	Excellent	Very Good	Average	Below Average	Poor	N/A
Mathematics	Excellent	Very Good	Average	Below Average	Poor	N/A
Humanities	Excellent	Very Good	Average	Below Average	Poor	N/A
English	Excellent	Very Good	Average	Below Average	Poor	N/A

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

	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
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
Student Council	Excellent	Good	Average	Poor	N/A
Campus and Alumni Relations (formerly Student Services)	Excellent	Good	Average	Poor	N/A
Registrar's Office	Excellent	Good	Average	Poor	N/A