First Name
Last Name
When did you graduate from Georgia Southern? (e.g., May 2002)
What degree did you obtain at Georgia Southern?
BA
BS
MS
PsyD
If you went to graduate school after attending GSU, where and in what degree program did you enroll? (e.g., Univ. of Georgia, MS in Counseling Psych)
What did you do immediately after graduating from Georgia Southern? (For example, "worked in a job in a mental health center," or "went to graduate school")
What are you currently doing (i.e., what is your current position)?
If you went to graduate school, how well did your education in psychology prepare you for the program you entered?
Not Applicable
Extremely Well
Fairly Well
Moderately Well
Not Very Well
Poorly
Extremely Poorly
If you are currently working, how well did your education in psychology prepare you for your current position?
Not Applicable
Extremely Well
Fairly Well
Moderately Well
Not Very Well
Poorly
Extremely Poorly
Do you have any comments, criticisms, or suggestions for improving the Psychology Department?
What were the highlights of your time in the Psychology Department? Do you have any praise for the Psychology Department?
Tell us about yourself and what is happening in your life. Where do you live? Are you married/partnered? Do you have children?
We also would appreciate your contact information:
Street or Post Office Box
City
State in USA
AL
AK
AR
AZ
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Country
Zip or Postal Code
Email Address
Daytime Phone Number
