HOSTS Program Feedback Survey | SIU School of Medicine

Student Name

Please list the name(s) of the alumni you connected with:

Please list the date(s) you connected with your alumni host(s):

How did you connect with your alumni host(s)?

(Check all that apply.)

In Person

Phone Call

Texts

Emails

Virtual Meeting

I did not connect with an alumni host(s)

Did the HOSTS program meet your expectations?

Comments about the HOSTS program meeting your expectations:

Please rate your experience with your alumni host(s):

Comments about your experience with your alumni host(s):

Other comments: