Residence Life Student Idea/Feedback Form

You can use this form to submit ideas or feedback that impact our student experience directly to Residence Life, Housing and Dining Services.

This form is NOT for reporting things that should be otherwise reported to your front desk or RA (such as emergency work requests, emergent issues).

If you have ideas for The Residence Hall Association (RHA), our student organization that plans events and leadership opportunities for students on campus, PLEASE SUBMIT YOUR FEEDBACK TO RHA

This form can be completely anonymous, no field is required to submit your idea/feedback.

Name Name First Last
Student ID Number
Building you live in:
How many semesters have you lived on campus?
My idea/feedback is about:

My idea/feedback is about: A Front Desk interaction Something else
This idea involves:

This idea involves: A way to impact the student experience Better/more efficient way to do something Service or Amenity Something that went well Something that didn't go well Other
My Idea/Feedback:
What front desk did the interaction occur at?
Rate the staff member's friendliness/general display of customer service.

Rate the staff member's friendliness/general display of customer service.
1 2 3 4 5

Worst

Best
Rate your perception of the staff member's knowledge of your issue/request.

Rate your perception of the staff member's knowledge of your issue/request.
1 2 3 4 5

Worst

Best
Rate your overall experience with the front desk receptionist/assistant.

Rate your overall experience with the front desk receptionist/assistant.
1 2 3 4 5

Worst

Best
Please provide a short description of the service you sought/recieved from the front desk.

Please enter the desk assistants name, the time and date that the encounter occurred, and any other important information.
Would you be willing to talk to a Residence Life staff member about your feedback?

Would you be willing to talk to a Residence Life staff member about your feedback? Yes No
If yes, please enter your phone number or email address
Contact Information:

Want to contact Residence Life, Housing and Dining Services in another way?
Call 417-836-5536
Email: ResidenceLife@MissouriState.edu
Residence Life Website

Residence Life Student Idea/Feedback Form

Residence Life Student Idea/Feedback Form

Contact Information: