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Online Feedback Form

Please let us know how we are doing; your comments are appreciated.
Last Name:  First Name:
Department: Phone Number:
E-mail Address:
Building: Room  #
Start Date: Month: Day:  Year:
Class Start Time: AM PM
Feedback Questionnaire
1) Was your equipment delivered on time? Yes No

2) Was your equipment set-up and ready to use? Yes No

3) Was the equipment in good working order? Yes No

4) Was the equipment clean? Yes No

5) Was our office staff available to assist your needs? Yes No NA

How can we better serve you in the future?

If you have any questions about the use of this form, feel free to contact our office. This form was last updated Wednesday, November 17, 2004.
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