Student Feedback Form
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1Student Feedback Form
(5)Strongly Agree (4) Agree (3) No Opinion (2) Disagree (1) Strongly Disagree (check box)
1.
I was treated with respect.
5
4
3
2
1
2.
The staff was knowledgeable .
5
4
3
2
1
3.
My questions and concerns were addressed in a timely manner
5
4
3
2
1
4.
The staff provided useful resources
5
4
3
2
1
5.
The services I needed were provided. .
5
4
3
2
1
6.
What is the Office for Students with Disabilities doing well?
7.
How can the Office for Students with Disabilities improve its services?
8.
Please share your thoughts, additional feedback, suggestions and comments.
9.
Tell us about events/workshops/programs you would like to see.
OPTIONAL/CONFIDENTIAL INFORMATION
Name:
CIN:
Phone:
Email:
Please let us know if you would like to be contacted. Yes
No
Office for Students with Disabilities and Disabled Student Support Services
PLEASE RETURN TO INTERIM DIRECTOR KIMBERLY CLAPP(DROP AT ADM 127 OR EMAIL
KIMBERLY.CLAPP@CALSTATELA.EDU)
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Parent category: Business