1. Name(optional)

2. Date of Visit (mm/dd/yyyy)

3. Gender
(Select one) Female Male

4. Race/Ethnicity
(Select one) African American Asian Caucasian Hispanic/Latino Native American Pacific Islander

5. Your Current Status
(Select one) Freshman Sophomore Junior Senior Grad Student Valpo Alum

6. Have you previously been to the Career Center?
(Select one) Yes No

6. What was the purpose of your visit today? (check all that apply)

Career Counseling/Career Assessment

Job Search

Resume/Cover Letter Assistance

Career Exploration

Internship Search

Graduate School Assistance

Other (please specify):

8. How satisfied were you with your appointment today?
(Select one) Very Satisfied Satisfied Dissatisfied Very Dissatisfied

9. What could the Career Center have done to better assist you today? Also, please provide any other general comments or suggestions.

10. Based on your interaction with Career Center staff, how likely are you to recommend the Career Center to a friend?
(Select one) Very Likely Likely Not Likely