Graduate Questionnaire

The purpose of the following questionnaire is to help CSPN administration and faculty determine whether the program objectives have been met. Additional information is asked to meet state and accrediting standards.

First name Last Name

Address City State(if outside Ohio) ZIP Please check if this is a new address since you graduated

Home phone Cell phone Work phone

Class

Are you presently employed as a nurse? Yes No If no, please continue here

Current place of employment Start date:
Full-time Part-time

Current hourly wage: up to $15/hour $16--$20/hour $21--$25/hour Over $25/hour

Do you have a specialty?

Yes (Select below) No

(Specify if other)

Do you plan to continue your formal nursing education?

Yes (Select below)
Approximately when? No

Do you feel the courses at CSPN were appropriate and relevant to your current work? Yes No (explain)

Did you feel that you were prepared to enter the practice of nursing, based on the education you received?
Yes No (explain)

Were you satisfied with the education you received?
Yes No (explain)

Would you recommend our program to others?
Yes No (explain)