PASS Program Feedback Form

Name:*

First NameLast Name

Email:*

example@example.com

I am a...*

When did you participate in the PASS program: Term Season?*

When did you participate in the PASS program: Term Year?*

Rate your overall experience with the PASS program (0=worst, 100=best)*

What was your level of involvement with the PASS program?*

Check the box that best reflects your experience:*

	Yes	No	Does Not Apply
A CGCC staff member responded via email or phone promptly when I contacted them.
Services I was referred to were relevant to my needs.
My immediate needs were met.
My long term needs as a student were met.
I feel set up for success at CGCC.
I feel like CGCC employees care about my success.
I found the services I was referred to helpful for my situation.

What areas of CGCC could be improved upon?*

If you selected 'Other', share below. *

Any additional feedback is appreciated- please list below!

Would you like to meet with the Student Success Navigator to discuss the feedback you provided?*