Cabrillo Extension Student Input and Feedback Form
The input and feedback you provide here is reviewed by the Extension Team. We use the information to help us maintain and improve the quality of our programs and services, and to gather input about what types of classes, training, or learning experiences you would like to see in the future.

If you are giving us general feedback or input about our programs, please just note "N/A" where appropriate.

Thank you for taking the time to provide information, and we look forward to seeing you on campus soon!

Start date or approximate date of the class
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Class Name *
Your answer
Presenter/Instructor *
Your answer
Please rate the customer service provided to you by the Extension staff. *
Did we help you find your class on our web site, complete your registrations, help with directions to campus, or any other support from our staff?
Please rate your experience using our web site.
Were you satisfied with the registration process?
If you were not satisfied please let us know what we can improve on by selecting the "other" option and expanding on the issue.
Were you satisfied with the instructor's level of preparation?
If you were not satisfied please let us know what cold be improved by selecting the "other" option and expanding on the issue.
Were you satisfied with the instructor's overall knowledge?
If you were not satisfied please let us know what we can improve on by selecting the "other" option and expanding on the issue.
Were you satisfied with class content and information?
Was the content useful to you in your life or work? Was it easy to understand how to apply this new knowledge? If you were not satisfied please let us know what we can improve on by selecting the "other" option and expanding on the issue.
How will you use the class material in your personal or professional life?
Your answer
What new classes would you like us to offer?
We are always looking for new ways to serve our community with Extension classes and workshops!
Your answer
Additional Comments
Your answer
May we use your comments in future publications? *
Required
How did you learn about our programs? *
Your Name
Your answer
Your Gender
Your Age
Your zip code
Your answer
Contact Info (Optional)
Your answer
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