JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
CCCTC Visitation Exit Survey
Sign in to Google
to save your progress.
Learn more
* Required
Name (First Name & Last Name)
*
Your answer
Phone Number
Your answer
Email Address
Your answer
Parent's Name
Your answer
Street Address
Your answer
City
Your answer
Zip Code
Your answer
School
*
Choose
Beaver Local
Columbiana
Crestview
East Palestine
Leetonia
Lisbon
Salem
Southern
United
Wellsville
Did your visit leave you with a positive impression of the Columbiana County Career & Technical Center?
*
Yes
No
Please explain your answer above:
*
Your answer
Based on your visit, are you encouraged to attend the Columbiana County Career & Technical Center?
*
Yes
No
Did you learn anything new at the Columbiana County Career & Technical Center?
*
Yes
No
Do you plan to attend the Columbiana County Career & Technical Center?
*
Yes
No
Maybe
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of ACCESS.
Report Abuse
Forms
