HOSTS-lite Program Survey | SIU School of Medicine

You have been asked to complete this brief survey because you recently participated in the HOSTS-lite (Helping Our Students To Succeed) program. Your honest opinion of the experience is very important to us and your feedback will help guide decision-making pertaining to the future of the program.

If you have any concerns or feedback about the program not outlined in the survey, please connect with Kate Moore, Program Coordinator for the Office of Development & Alumni Relations, at kmoore75@siumed.edu.

Note: Questions marked with a red asterisk are required to answer. You must answer all required questions before you can submit the form.

Thank you for your participation and feedback!

Student Name

Please list the date(s) of your residency interview(s):

Did you connect with more than 1 alumni host?

Yes

Did not connect with an alum

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.)

Phone Call

Texts

Emails

Virtual Meeting

I did not connect with an alumni host(s)

Did the HOSTS-lite program meet your expectations?

Comments about the HOSTS-lite program meeting your expectations:

Please rate the ease of use for the new HOSTS-lite program:

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

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

Other comments about HOSTS-lite: