Class Survey
Student info:
Zip code:
Age:
Occupation:
Gender:
Male
Female
Ethnicity:
African
African-American
Asian
Caucasian
Other
Educational level:
0-8th grade
9-12th grade
Associate
BA/BS
Graduate degree
Median household income:
Under $25,000
$26,000 to $50,000
$51,000 to $75,000
$76,000 to $100,000
Above $101,000
Your registration:
How did you hear about UCAL?
Word of mouth
UCAL Brochure
Newspaper
Web
If you heard about UCAL via the "Web", what web site did you use?
Citipaper
Daily News
Daily Pennsylvanian
Metro
Philadelphia Inquirer
Philadelphia Weekly
UCAL
UCAL/Myspace
University City Review
Other
If you heard about UCAL via a "Newspaper", what newspaper?
Citipaper
Daily News
Daily Pennsylvanian
Metro
Philadelphia Inquirer
Philadelphia Weekly
University City Review
Other
How did you register?
In person
By mail
By phone
Would you register online, if you could?
Yes
No
Your class:
Which class:
Art
Crafts
Dance
Social dance
Fitness
Language
Music
Photography
Pottery
Theater
Writing
Kids
Teens
Day of class:
Time/Session/Year of class:
Teacher:
Please rate the following:
Your class experience overall?
Excellent
Good
Fair
Poor
Your teacher?
Excellent
Good
Fair
Poor
The facilities?
Excellent
Good
Fair
Poor
The office staff?
Excellent
Good
Fair
Poor
If there is a class you would like to see started at UCAL, please describe.
What day/time would suit you best?
Additional comments: