Question Title

* 1. First Name

Question Title

* 2. Last name

Question Title

* 3. Will you be attending Sampler Day 2015?

Question Title

* 4. When you were last here on campus, what did you do? Please choose all that apply.

Question Title

* 5. If you haven't taken a class with CE in more than two years, please share the reasons why. (Check all that apply.)

Question Title

* 6. If cost was a reason you haven't enrolled in a Continuing Education course, are you interested in learning about available scholarships?

Question Title

* 7. Email Address

Question Title

* 8. 5-digit Zip Code

Question Title

* 9. Which topics are you most interested in sampling?

Question Title

* 10. Are you planning to take a Continuing Education course in the spring?

Question Title

* 11. Please check all ways you heard about Sampler Day

Question Title

* 12. If you would like this survey to serve as your registration for the Sampler Day event and as your entry into the raffle, please indicate your full birthdate below (Sample: Feb. 14, 1950)

T