SurveyMonkey Powered Online Survey

Question Title

Adoption Feedback Form

About the book and course

Question Title

* 1. Author name

Question Title

* 2. Book title and edition

Question Title

* 3. Course name

Question Title

* 4. Course level

Question Title

* 5. Adoption status

Question Title

* 6. Number of students

Question Title

* 7. Course start date

Date / Time

Date

Question Title

* 8. Course end date

Date / Time

Date

Question Title

* 9. Comments about this book

Your details

Question Title

* 10. First Name

Question Title

* 11. Last Name

Question Title

* 12. Job Role

Question Title

* 13. Institution

Question Title

* 14. Department

Question Title

* 15. Address line 1

Question Title

* 16. Address line 2

Question Title

* 17. City

Question Title

* 18. Zip/Post Code

Question Title

* 19. Country

Question Title

* 20. Email Address

By submitting this form, you agree to opt in (and/or resubscribe) to receive relevant messaging specific to this area of interest. You can Opt Out at any time. Please refer to our Privacy Policy or Contact Us for more details.