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Rethinking Your College Education
BHSU Exit Survey
BHSU Exit Survey Form
1. I am
2. Please note the specific reason(s) for your departure- transfer/stop out/etc. -from BHSU at this time
3. Effective start date of transfer or stop out
4. If transferring, please indicate your new university
5. With whom did you consult the most regarding the transfer/stop out decision?
6. If returning to attend BHSU in the future, indicate which semester and year
7. On a scale of 1 to 10, how sure are you that you are making the right decision to stop attending the university at this time? (10 - most sure, 1 - least sure)
Please explain the rating you chose for question 7
8. Do you feel in need of additional information to help make this decision?
If yes, what information may help?
9. Please check the student services you have used during your time at BHSU
10. Where did you utilize these services?
11. Is there anything BHSU could have done, or could do in the future, to ensure your continued enrollment and success?
12. Please describe your overall experience at BHSU (academically, outside of the classroom, etc)