SAMPLE SURVEY FORMAT

We would like to know how well you feel your work in the Program of  _______________   at UMF prepared you in terms of academic and professional skills.  Please provide three ratings for each skill area: one on how satisfied you are with the preparation that you received in that area, one on how important it has been for you personally to have sound preparation in that area, and one on how important it has been for you professionally to have sound preparation in that area.   Please use the following rating scale:

                                                            4 = very satisfied/very important

                                                            3 = somewhat satisfied/somewhat important

                                                            2 = somewhat dissatisfied/somewhat unimportant

                                                            1 = very dissatisfied/very unimportant

How well did your work in the program prepare you to:

1. _______________________________________________      1  2  3  4           1  2  3  4            1  2  3  4   

3. _______________________________________________      1  2  3  4           1  2  3  4            1  2  3  4   

4. _______________________________________________       1  2  3  4           1  2  3  4            1  2  3  4

5. _______________________________________________       1  2  3  4           1  2  3  4            1  2  3  4   

6. _______________________________________________        1  2  3  4           1  2  3  4            1  2  3  4

7. _______________________________________________        1  2  3  4           1  2  3  4            1  2  3  4   

8. _______________________________________________       1  2  3  4           1  2  3  4            1  2  3  4

9. _______________________________________________       1  2  3  4           1  2  3  4            1  2  3  4   

10. ______________________________________________       1  2  3  4           1  2  3  4            1  2  3  4

11. ______________________________________________        1  2  3  4           1  2  3  4            1  2  3  4   

12. ______________________________________________         1  2  3  4           1  2  3  4            1  2  3  4

13. ______________________________________________         1  2  3  4           1  2  3  4            1  2  3  4   

14. ______________________________________________        1  2  3  4           1  2  3  4            1  2  3  4

15. ______________________________________________        1  2  3  4           1  2  3  4            1  2  3  4   

16. ______________________________________________        1  2  3  4           1  2  3  4            1  2  3  4

17. ______________________________________________         1  2  3  4           1  2  3  4            1  2  3  4   

18. ______________________________________________        1  2  3  4           1  2  3  4            1  2  3  4

19. ______________________________________________        1  2  3  4           1  2  3  4            1  2  3  4   

20. __________________________________________________________________

21.  Did you have another major besides the one listed above?  No_____      Yes_____ (Please specify:_____________________________________)

22.What is your current occupation? _______________________________________________________________

23.   What was your year of graduation from UMF? _________

Thank you for your help!