Qualtrics Survey | Qualtrics Experience Management

Thank you for your interest in a mid-semester student feedback session. To inquire about scheduling a session, please fill out the form below.

Your name

Email address

Department

Course name and number

Location of the course (building/room)

Number of students in the course

List 2-3 possible days/times when a 15-20-minute student feedback session could occur in your course.

Do you have any specific goals for participating in the student feedback session?

Thank you! We will get back to you soon and will do our best to schedule a student feedback session.