Follow-Up Survey-Student Followup Military Survey Form
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1Follow-up Survey
Student’s Name ___________________________
gOAL: Enter Employment in the military Only
Hello. My name is ________________. I work for
____________________. You may remember that
during your orientation we informed you we would be
calling students who have attended our adult education (ABLE) classes to find out what happens to them after
they leave us. We would like to know if our ABLE class helped you achieve your goal of entering employment
in the military.
This survey will take only a few minutes, and I assure you that all information you give to me will be strictly
confidential.
Is this a convenient time?
Yes
No [obtain a time to call back]
EnrOLLmEnT
First, I’d like to make sure that I have the correct information about the class you were in. I understand that you
were in _________________(Instructor’s) class at _____________________(LOCATION-Specify the street,
the building, anything that will help the student clarify his/her attendance) about _____(#) months ago. Is that
correct?
Yes
No [obtain correct information]
EnTErIng EmPLOYmEnT In ThE mILITArY OnLY
1. Since the end of your class, have you obtained a job in the military?
Yes [Proceed to Next Question]
No [Proceed to Closing]
2. Which branch of the military have you entered?
Airforce
Army
Marines
National Guard
Navy
Other (Specify)________________________
3. When? ________________________
CLOSIng
Do you have any questions or other comments?
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
Thank you very much for taking the time to answer my questions. The information you provided will be used to
make our programs better. We wish you continued success.
Survey administered by: ___________________________on ___________ (Date) ___________ (Time)
Survey administered by: ___________________________on ___________ (Date) ___________ (Time)
Survey administered by: ___________________________on ___________ (Date) ___________ (Time)
Results:
___________ 1st call
___________ 2nd call
___________ 3rd call
Left message
Left message
Left message
No answer
No answer
No answer
Disconnected
Disconnected
Disconnected
Completed Survey
Completed survey
Completed Survey
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