BME 272 Questionairre


The purpose of this survey is to get an idea of your starting point in this course... We will repeat this exercise at the end of the course to help evaluate this year and help improve future offerings.

This survey is divided into the following sections:

Fill out the information in each section as requested. Then at the end of the form supply your name and contact information, and submit the form. You will receive a confirmation message from us shortly.


Inventor? -- This form needs to be worked on ...

Inventor?-- Your background as an inventor

I am interested in your skill set upon entry to this course:

 

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SECTION B -- This form needs to be worked on ...

These are the instructions for filling out this section. These are the instructions for filling out this section. These are the instructions for filling out this section.

  1. How would you rate this survey?

    Bad Poor Fair Good Excellent

  2. What is your favorite sport?



  3. Select the subject areas you are most interested in:

    History
    Geography
    Mathematics
    Economics
    Literature

  4. As verification of the above username & passord::

    Username
    Password
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SECTION C -- Title of this section

These are the instructions for filling out this section. These are the instructions for filling out this section. These are the instructions for filling out this section.

  1. Which of our products do you currently own?
    SKU-01     SKU-04     SKU-07     SKU-10
    SKU-02     SKU-05     SKU-08     SKU-11
    SKU-03     SKU-06     SKU-09     SKU-12
    
  2. Please enter any additional comments regarding our products or services:



  3. Select a month from the following list, which shows 6 elements at a time:

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FORM SUBMISSION

Thank you for taking the time to answer the questions in our survey.

This explains how we plan to use the information you provide to us. We will also explain what benefits you receive from helping us in this way.

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Author information goes here.
Copyright 1995 [OrganizationName]. All rights reserved.
Revised: October 16, 2002.