Custodial Services Survey
Campus Name:
Choose One
BL
CA
CD
I am referring to the following building/s:
Facility Type:
Please choose one
Classroom
Laboratory
Office
Other
Affiliation:
Please choose one
Student
Faculty
Staff
Rating Definitions:
Question 1.
A. The general cleanliness of the building where I work, study, exercise or learn is:
Dirty, Seldom Cleaned
Less than Adequately Clean
Usually Clean
Always Clean
B. How important is this to you?
Not Important
Slightly important
Important
Very Important
Question 2.
A. My overall rating of the space (office, lab, classroom, recreation area or other work station) I personally use is:
Dirty, Seldom Cleaned
Less than Adequately Clean
Usually Clean
Always Clean
B. How important is this to you?
Not Important
Slightly important
Important
Very Important
Questions 3.
A. The appearance of the grounds adjacent (up to forty feet around a facility) to my building is:
Dirty, Seldom Cleaned
Less than Adequately Clean
Usually Clean
Always Clean
B. How important is this to you?
Not Important
Slightly important
Important
Very Important
Additional Comments :
