180 lines
6.5 KiB
HTML
180 lines
6.5 KiB
HTML
<!DOCTYPE html>
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<html>
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<head>
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<title>[ #504206] Tidy errors in processing forms.</title>
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</head>
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<body>
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<h1>COMM 428: Feedback Survey</h1>
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<p>Please fill out the following form based on YOUR experience in
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COMM 428 to date.</p>
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<p>Use the <strong>Send</strong> button at the bottom of the page
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to send your feedback to me via e-mail.</p>
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<hr>
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<form method="post"
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action=
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"http://hobbes.itc.virginia.edu/cgi-%20uva/cgiwrap/rrn2n/cgi-bin/formmail.cgi">
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<input type="hidden"
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name="recipient"
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value="rnelson@virginia.edu"> <input type="hidden"
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name="subject"
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value="Feedback Survey"> <input type="hidden"
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name="sort"
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value=
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"order:realname,email,Future,MIS,Finance,Marketin g,Management,Accounting,Other,questions,practical,prese nts,prepared,enthusiasm,available,stimulates,STRENGTHS, WEAKNESSES,SUGGESTIONS">
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<input type="hidden"
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name="required"
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value="SUGGESTIONS"> <input type="hidden"
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name="env_report"
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value="REMOTE_HOST,HTTP_USER_AGENT">
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<p><strong>Name (optional):</strong> <input type="text"
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name="realname"></p>
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<p><strong>E-Mail Address (optional):</strong> <input type=
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"text"
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name="email"></p>
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<p><strong>Where will you be this time next year?</strong>
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<select name="Future">
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<option>
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Consulting
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</option>
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<option>
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Corporate MIS
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</option>
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<option>
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Other Employment
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</option>
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<option>
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Graduate School
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</option>
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<option>
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Don't Know Yet
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</option>
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</select></p>
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<p><strong>Area(s) of concentation? (Select all that
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Apply):</strong><br>
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<input type="checkbox"
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name="MIS">MIS<br>
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<input type="checkbox"
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name="Finance">Finance<br>
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<input type="checkbox"
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name="Marketing">Marketing<br>
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<input type="checkbox"
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name="Management">Management<br>
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<input type="checkbox"
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name="Accounting">Accounting<br>
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<input type="checkbox"
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name="Other">Other<br></p>
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<p><strong>Q1: The instructor gives appropriate consideration
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to the comments and questions of students.</strong><br>
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<input type="radio"
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name="questions"
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value="SA">Strongly Agree <input type="radio"
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name="questions"
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value="A">Agree <input type="radio"
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name="questions"
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value="N">Neither Agree Nor Disagree <input type="radio"
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name="questions"
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value="D">Disagree <input type="radio"
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name="questions"
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value="SD">Strongly Disagree</p>
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<p><strong>Q2: The instructor relates theoretical concepts
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covered in the course to practical applications.</strong><br>
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<input type="radio"
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name="practical"
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value="SA">Strongly Agree <input type="radio"
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name="practical"
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value="A">Agree <input type="radio"
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name="practical"
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value="N">Neither Agree Nor Disagree <input type="radio"
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name="practical"
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value="D">Disagree <input type="radio"
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name="practical"
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value="SD">Strongly Disagree</p>
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<p><strong>Q3: The instructor presents class material in a
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clear and organized manner.</strong><br>
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<input type="radio"
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name="presents"
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value="SA">Strongly Agree <input type="radio"
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name="presents"
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value="A">Agree <input type="radio"
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name="presents"
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value="N">Neither Agree Nor Disagree <input type="radio"
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name="presents"
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value="D">Disagree <input type="radio"
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name="presents"
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value="SD">Strongly Disagree</p>
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<p><strong>Q4: The instructor is prepared for
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class.</strong><br>
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<input type="radio"
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name="prepared"
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value="SA">Strongly Agree <input type="radio"
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name="prepared"
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value="A">Agree <input type="radio"
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name="prepared"
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value="N">Neither Agree Nor Disagree <input type="radio"
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name="prepared"
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value="D">Disagree <input type="radio"
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name="prepared"
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value="SD">Strongly Disagree</p>
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<p><strong>Q5: The instructor demonstrates enthusiasm and
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interest in the subject matter.</strong><br>
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<input type="radio"
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name="enthusiasm"
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value="SA">Strongly Agree <input type="radio"
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name="enthusiasm"
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value="A">Agree <input type="radio"
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name="enthusiasm"
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value="N">Neither Agree Nor Disagree <input type="radio"
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name="enthusiasm"
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value="D">Disagree <input type="radio"
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name="enthusiasm"
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value="SD">Strongly Disagree</p>
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<p><strong>Q6: The instructor posts reasonable office hours and
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is available whenever I try to see him during those
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hours.</strong><br>
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<input type="radio"
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name="available"
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value="SA">Strongly Agree <input type="radio"
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name="available"
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value="A">Agree <input type="radio"
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name="available"
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value="N">Neither Agree Nor Disagree <input type="radio"
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name="available"
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value="D">Disagree <input type="radio"
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name="available"
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value="SD">Strongly Disagree</p>
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<p><strong>Q7: The instructor stimulates me to think about the
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course.</strong><br>
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<input type="radio"
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name="stimulates"
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value="SA">Strongly Agree <input type="radio"
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name="stimulates"
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value="A">Agree <input type="radio"
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name="stimulates"
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value="N">Neither Agree Nor Disagree <input type="radio"
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name="stimulates"
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value="D">Disagree <input type="radio"
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name="stimulates"
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value="SD">Strongly Disagree</p>
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<p><strong>Stengths (class/instructor):</strong><br>
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<textarea rows="5"
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cols="60"
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name="STRENGTHS"></textarea><br></p>
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<p><strong>Weaknesses (class/instructor):</strong><br>
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<textarea rows="5"
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cols="60"
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name="WEAKNESSES"></textarea><br></p>
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<p><strong>Suggestions for improvement (class/instructor; NOTE:
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This field is REQUIRED):</strong><br>
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<textarea rows="5"
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cols="60"
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name="SUGGESTIONS"></textarea><br></p>
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<p><input type="submit"
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value="Send"> <input type="reset"
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value="Clear Form"></p>
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<form>
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<hr>
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</form>
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</form>
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</body>
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</html>
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