International Student Concerns Translations Feedback Form
(Your response will be emailed to the Developers, Thank You)

Name: Institution:
Address: City: State: Zip Code:

For each statement below, select the number which best describes your opinion of the potential usefulness of the translated materials in your setting:

The materials appear to accurately cover typical international student concerns:
Brochure format: Strongly Agree Agree Neutral Disagree Strongly Disagree
Booklet format: Strongly Agree Agree Neutral Disagree Strongly Disagree
The materials would likely facilitate communication between you and an international student:
Brochure format: Strongly Agree Agree Neutral Disagree Strongly Disagree
Booklet format: Strongly Agree Agree Neutral Disagree Strongly Disagree
The materials could help with making referrals:
Brochure format: Strongly Agree Agree Neutral Disagree Strongly Disagree
Booklet format: Strongly Agree Agree Neutral Disagree Strongly Disagree
Overall, the materials appear to be useful:
Brochure format: Strongly Agree Agree Neutral Disagree Strongly Disagree
Booklet format: Strongly Agree Agree Neutral Disagree Strongly Disagree


Additional Comments: