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Alumni Survey
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| * Indicates required field |
| Degrees Earned at Other Insititutions |
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| Employment/Practice Information |
| Are You or Were You in Private Practice? |
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| If Yes, Enter Practice Information |
| Practice Name: |
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| Practice Address: |
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| Practice City, State, Zip |
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| Business Phone: |
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| Business Email: |
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| Practice Web Site: |
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| Year Practice Begin: |
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| Are You Still in Practice? |
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| If Ended, Year Prictice Ended: |
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| Rate the Overall Success of Your Private
Practice: |
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| If You are not Currently Working as a Full Time practitioner,
Please Fill Out the Following: |
| If You are Unemployed, Leave the Inforamtion Below Blank. |
| Employer Name: |
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| Address: |
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| City, State, Zip: |
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| Job Title: |
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| School Experience Feedback |
| If You Currently Work as a practitioner (or Have Worked as a
practitioner) Full or Part Time, Which Parts of the Curriculum or Which
Particular Courses Have Been Most Useful to You? |
| Acupuncture: |
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| Herbal Medicine: |
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| Western Medical Science Courses: |
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| Business Courses: |
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| Give Your Overall Rating of the College
Program: |
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| Which Parts of the Program or Which Courses Were Not Useful or to
be Improved or Expanded? |
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| Other Comments, Suggestions and/or Career Plans: |
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| Do You Feel Comfortable Recommending the College to Prospective
Students? |
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| If No, Why Not? |
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Thank You for Helping the College Improve Its Courses and
Programs.
We Appreciate Your Feedback. |
| Would You Like to See an Active Alumini Association Formed? |
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| Would You Like to Receive the College's Newsletter and Information About
Alumini Association Acitivities? |
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