Leaver Withdrawal Survey

 
Coastal Carolina Community College
Leaver/Withdrawal Survey
Name  
 
 
  (MM/DD/YYYY)
Curriculum (Please select the program in which you were enrolled)
   
   
Q1 What was your primary goal for attending Coastal? (Please select only one)
 
Q2 To what extent do you feel you accomplished your goal while attending Coastal? (Please select only one)
Fully accomplished
Skip to Q4
Partially accomplished
Not accomplished
Q3 If you did not accomplish your goal while attending Coastal, which of the following describes why you did not acheive that goal and your reason for leaving.
 
   
Q4 What is your current status?
Go to Q5
Q5
 
Q6 Is your job related to your studies at Coastal?  
Q7 Please indicate your rating of the following services by filling in the most appropriate response.
         
  Quality of Instruction in program area courses        
  Quality of Instruction in other courses        
  Overall quality of academic program        
  Teaching Facilities        
  Equipment        
  Learning Resource Center        
  Admissions Procedures        
  Academic Advising        
  Financial Aid        
  Veterans Affairs        
  Registration Procedures        
  Student Activities        
  Business Office        
  Bookstore        
  Cafeteria        
  Security        
  Computer Resources on Campus        
  College Foundation        
  Overall Quality of the college        
  Overall Coastal Experience        
Q8 Please indicate your response to the following questions.
     
  Do you plan to re-enroll at this community college during the next year?    
  If you were to begin again, would you choose to attend this community college?    
Q9 Could we have done anything differently that may have helped you remain in college?                                                                                Could we have provided you . . . (select all that apply)
 
Q10