This form has been created by the Waterloo Undergraduate Student Association to listen to concerns about teaching and course quality, so we can track trends and share them with your faculty student societies.

Information and privacy: questions regarding the collection of information on this form can be directed to the form administrator.

What is your name? (optional)
What Faculty are you in? (optional)
What course do you want to share your concerns about?
What instructor is teaching the course? (optional)
What are your concerns about the course? (optional)
What do you think could be done to address your concern? (optional)
Student Society * (required)
Can we share your information with your faculty student society?
Is there any other information you would like to let us know (optional)