Student Survey Form

First Name:

Last Name:

Street Address:

City:

State:

Zip Code:

Telephone Number:

Email:

Date of Survey:

What did you like most about the campus? (Select all that apply)

Students
Location
Campus
Atmosphere
Dorm Rooms
Sports

How did you become interested in the university?

Friends
Television
Internet
Other

How likely are you to recommend this school?

Enter 10 comma-separated numbers for the raffle (1-100):

Additional Comments: