Z. A. Islamia College, Siwan, Bihar
General Administration
Feedback Form

NAME OF STUDENT:
DEPARTMENT:
CLASS/COURSE
ROLL NO
SESSION

Directions:
For each item please indicate your level of agreement with the following statement by choosing a []Score between 1 and 5. A Higher score indicates a stronger agreement with the statement.

YESNO
1Is the office helpful in administrative matters
2Do you receive the mark statements in time
3Are there enough clean class rooms available in the Department
4Are the toilets Cleaned properly
5Are you provided with enough drinking water
6Are you happy with the food served in the present Canteen
7Do You think that your grievances are redressed
8Are You aware of the functioning of a Placement Cell in Your college
9Are the Lab. Equipments are in proper working Conditions
10Are you provided with adequate quantity of chemicals and specimen for carrying out Lab. Activities
11Do you avail any scholarship from the University
12Are you a beneficiary of free education scheme of the university
13If any other remarks