Library Instruction Statistics Form
Exit this survey
Library Instruction Statistics Form
Class
Please use Prefix All Caps and number (Ex: ICS 101)
or Workshop/Event name
Class Please use Prefix All Caps and number (Ex: ICS 101) or Workshop/Event name
Instructor (last name only)
Instructor (last name only)
Number of Students/Participants
Number of Students/Participants
Term
Term
Summer 2012
Fall 2012
Spring 2013
Winter 2013
Level of Class
Level of Class
Lower Division Undergraduate
Upper Division Undergraduate
Graduate
Faculty/Staff
High School
Other
Other (please specify)
Librarian
Librarian
Gabaldon
Lincicum
Monge
Rockwell-Kincanon
Passehl
Scharn
Type of session:
Type of session:
Instructional
Orientation/Tour
Workshop
Length of session:
Length of session:
0-30 minutes
31-60 minutes
61-90 minutes
91-120 minutes
Powered by
SurveyMonkey
Check out our
sample surveys
and create your own now!
Javascript is required for this site to function, please enable.