College Safety Survey
Thank you for your honest input!
1. Have you ever sustained an injury on campus as a college student?
Yes
No
2. Did you seek medical attention due to the injury?
Yes
No
3. What type of injury did you have?
Head injury/concussion
Fracture/Broken Bone
Cut/Scrape
Burn
Spinal cord injury
Internal injuries
Other
If "other", please specify:
4. Where on campus did the injury occur?
Campus walkway/sidewalk
Staircase
Sports facility/gym
Classroom/lab
Dorm/residence hall/Greek housing
Parking lot
Other
If "other", please specify:
May we contact you to learn more? (You will remain anonymous in our survey)
Email address
Submit
Should be Empty: