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[en] Other -#- 017 - Campus Issues Survey
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This survey template can be used to collect the views on any campus issues that may occur. Place your school, college or university name instead of COLLEGE.
DO NO FORGET TO DELETE THE ABOVE BEFORE YOU PUBLISH YOUR SURVEY.
[COLLEGE] is very interested in your opinion regarding [ISSUE]. Please take our brief survey so we can get your opinion. Your responses will remain anonymous.
Please tell us how important [ISSUE] is to you:
Not at all important
Not that important
Somewhat important
Very important
Extremely important
This block is required.
Please state, in your opinion, how serious a problem this [ISSUE] is on our campus:
Not at all serious
Slightly serious
Somewhat serious
Very serious
Extremely serious
This block is required.
We would like your view on some possible response actions to [ISSUE]. For each one, please tell us how strongly you favor or oppose it:
Strongly oppose
Somewhat oppose
Neither favor nor oppose
Somewhat favor
Strongly favor
[RESPONSE ACTION 1]
[RESPONSE ACTION 2]
[RESPONSE ACTION 3]
[RESPONSE ACTION 4]
[RESPONSE ACTION 5]
This field is required.
How informed, you think, you are on [ISSUE]?
Not informed at all
Not that informed
Somewhat informed
Well informed
Fully informed
This block is required.
How satisfied are you with each of the following campus and community groups in informing on [ISSUE]?
Very dissatisfied
Somewhat dissatisfied
Neither satisfied nor dissatisfied
Somewhat satisfied
Very satisfied
Not Sure/Don't Know
Administration
Dean of Students
Dean of College
Faculty
College Web Site
Student Government
Fraternity/Sorority Groups
Campus Newspaper
Campus Radio/TV Stations
Local Newspaper
Local Radio Stations
Local Television Stations
This field is required.
Please tell us which campus and community groups you think should be informing about [ISSUE]: Please select all that apply
Administration
Dean of Students
Dean of College
Faculty
College Web Site
Student Government
Fraternity/Sorority Groups
Campus Newspaper
Campus Radio/TV Stations
Local Newspaper
Local Radio Stations
Local Television Stations
Other, please specify
This block is required.
Please share any questions, thoughts or possible solutions you may have about [ISSUE]:
This block is required.
Thank you for your participation!
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