SSC feedback form
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1. Default Section

Thank you for taking the time to give feedback about your experience in the Student Success Center.

1. What subject(s) did you seek tutoring in?

What subject(s) did you seek tutoring in? Math Statistics Accounting Basic Philosophy	Reading Writing English Pronunciation Speech	Spanish History Basic Music Theory
Other (please specify)

2. What weekday were you here?

What weekday were you here? Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

3. What time were you here?

		HH		MM	AM/PM
Visit Time		What time were you here? Visit Time Hour	:	Minute	AM or PM

4. How often do you come to receive tutoring per week or per term?

How often do you come to receive tutoring per week or per term?

5. How long did you wait until you were helped (average)?

How long did you wait until you were helped (average)?

6. Did you receive the help you were looking for?

Did you receive the help you were looking for?

7. What helped and/or didn’t help?

What helped and/or didn’t help?

8. Do you have any suggestions and/or feedback for us?

Do you have any suggestions and/or feedback for us?

9. Any additional comments?

Any additional comments?

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