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First Name *

Middle Name

Last Name *

Date *

Which UB services have you used? (check all that apply) *

Academic AdvisingCareer CounselingComputer LabCultural EventsFinancial Aid CounselingTutoring

How important was UB to improve your academic performance? *

Very ImportantImportantSlightly ImportantNot Important

How important was UB to increase your motivation to succeed? *

Very importantImportantSlightly ImportantNot Important

How important was UB to influence your decision to continue your education at the college level? *

Very ImportantImportantSlightly ImportantNot Important

How has UB been beneficial to you?

What services do you suggest that UB provide to better help participants?

If leaving, please state why? *

Dropped out of schoolGraduatedLeaving LancasterPersonal ReasonsNot Leaving

If returning, do you plan to return to UB the coming year? *

YesNo

If you are a graduate, have you applied/enrolled in a college or university? *

YesNo

Where do you plan to attend college? *