1. The Ombuds responded to me in a timely manner.

2. The Ombuds honored confidentiality.

3. The Ombuds listened to my concerns in a respectful manner.

4. The Ombuds helped me identify and evaluate options to address my concerns.

5. My concern has been resolved or diminished by using the Ombuds Office.

6. I would use the Ombuds Office again should the need arise. If not, please explain.

7. I would refer others to the Ombuds Office.

8. Please indicate what you would have done about your concern as an alternative to the Ombuds Office. Select all that apply.

9. I am:

10. I would like to provide anonymous testimonial for the use of the Ombuds Office.