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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:
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 (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.
Chiropractic
Medical
Osteopathic
Veterinary
Physician's Asst.
Other
Other
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?
Very Satisfied
Satisfied
Dissatisfied
Very Dissatisfied
Not Applicable
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
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