Chaffey College Community Education
Program Suggestions and Feedback
1
. What type of program(s) would you like to see offered through Chaffey College Community Education? Please select all that apply and specify below.
What type of program(s) would you like to see offered through Chaffey College Community Education? Please select all that apply and specify below.
Youth Programs
Medical Training
Business and Income Opportunities
Technology
Other
Please specify:
2
. What campus location(s) would be of most interest to you?
What campus location(s) would be of most interest to you?
Rancho Cucamonga Campus (Haven Avenue)
Chino Campus (College Park Avenue)
Fontana Campus (Merrill Avenue)
3
. What time frame(s) would be most convenient for your schedule?
What time frame(s) would be most convenient for your schedule?
Weekdays
Evenings
Weekends
4
. What is the maximum number of hours you would committ to a program in one day?
What is the maximum number of hours you would committ to a program in one day?
5
. What is the maximum number of overall hours you would invest in a program?
What is the maximum number of overall hours you would invest in a program?
6
. What are the top (3) qualities you look for in a presenter?
What are the top (3) qualities you look for in a presenter?
7
. Considering the topic you have in mind, which range below most closely represents the amount you would be willing to pay?
Considering the topic you have in mind, which range below most closely represents the amount you would be willing to pay?
$39 - $59
$60 - $79
$80 - $99
$100 - $119
$120 - $139
$140 - $159
$160 - $179
$180 - $199
$200 or more
If you have suggested multiple programs, please specify topic along with respective price range below.
8
. Please use the space below to provide additional feedback if needed. We value your opinion and want to hear from you.
Please use the space below to provide additional feedback if needed. We value your opinion and want to hear from you.
9
. Demographic Information (Age, Educational Level, & Highest Degree Earned)
Demographic Information (Age, Educational Level, & Highest Degree Earned)
Under 24 Years Old
24-29 Years Old
30-49 Years Old
50-62 Years Old
Over 62 Years Old
Grade School
High School
2 Years College
4 Years College
More than 4 Years
No Degree
A.A. or A.S. Degree
B.A. or B.S. Degree
M.A. or M.S. Degree
Ph.D., M.D., or Similar
10
. Personal Information (Optional)
Personal Information (Optional)
Name:
City/Town:
Email Address:
Phone Number:
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