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QUESTIONNAIRE

Directions: Please circle a response for each question. If two responses apply, circle
both.
1. What is your class standing?
A.
B.
C.
D.

Freshman
Sophomore
Junior
Senior

2. Do you take day or evening classes?


A. Day
B. Evening
3. How would you rate the quality of the instructors/ advising on the major/minor in the
department?
A.
B.
C.
D.

Excellent
Good
Fair
Poor

4. How satisfied are you overall with your education experience at our school?
A.
B.
C.
D.

extremely satisfied
mostly satisfied
somewhat satisfied
not satisfied

5. To what degree are you satisfied with your department performance in administering
the department?
A.
B.
C.
D.
E.

Very dissatisfied
Somewhat dissatisfied
Neutral
Somewhat satisfied
Very satisfied

INTERVIEW
Directions: Write your answer in the space provided.
1. Tell me about yourself.
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
2. What are your strengths and weaknesses?
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
3. What are your goals?
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
4. What motivates you to do good job?
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
5. Who has inspired you in your life and why?
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________

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