Health Exploration Day Survey 2023
Thank you for attending the Health Exploration Day! Please complete this survey to provide feedback about today's event!
Name
*
First Name
Last Name
Birth Date
*
/
Month
/
Day
Year
Date
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Cell Phone #
*
-
Area Code
Phone Number
May we send you text messages?
Please Select
Yes
No
Email
*
example@example.com
Parent's Email
*
example@example.com
High School
*
Please Select
Fond du Lac High School
Graduation Year
*
Please Select
June 2024
June 2025
June 2026
June 2027
Please rate your satisfaction with the following aspects of the event:
*
Not Satisfied
Somewhat Satisfied
Satisfied
Very Satisfied
Registering for the event
Nursing Program Experience
Respiratory Therapy Experience
Medical Laboratory Technician Experience
EMT Experience
Learn more about MPTC Programs Experience
Location
What part of the event did you like best?
*
What part of the event did you like the least?
*
What could we have done to make your experience better?
I am interested in pursuing a career in a health pathway.
*
Please Select
Yes
No
Would you recommend a similar event to a friend?
*
Yes, definitely
Maybe, if the content was changed
No, never
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