The Classroom Maintenance Committee would like to know about your experiences teaching in the classroom assigned for the current semester. Please take a few moments to complete this form for submition to the University Scheduling Office. This form is NOT to be used for reporting classroom maintenance problems that require the immediate attention of the Facilities Maintenance Office.
Course (Unit/Subject/Section):
Title:
Year/Term:
Instructor: (required field for form to submit)
Building/Room:
Phone #:
E-Mail Address:
1. How do you rate the overall quality of the room? Very Good Good Satisfactory Poor
2. Was the lighting level adequate? Yes No
If not, please describe the problem:
3. How would you rate the quality of acoustics in the room? Very Good Good Satisfactory Poor
If poor, please elaborate:
4. Was there a problem with noise coming from any of the electrical/mechanical systems? Yes No
If yes, please describe the problem:
5. How would you rate the comfort level from the standpoint of heating/ventilation/cooling (HVAC)? Very Good Good Satisfactory Poor
If poor, please describe the problem:
6. Did you have any problems with the projection screen? Yes No
7. Were the blinds/drapes/shades in place on all windows and functioning? Yes No
8. Did you have any problems using the chalkboard? Yes No
9. Did you have problems using any of the media equipment in the room? Yes No
10A. Were there sufficient number of electrical outlets? Yes No 10B. Were the outlets conveniently located? Yes No 10C. Were the outlets in working order? Yes No
If answer to any of the above questions is no, please provide details:
11. If there was a phone in the room, was it working? Yes No
12. Were there enough seats for the students? Yes No
If not, please provide the number of students enrolled in class:
13. Was the room clean? Yes No
If not, please describe the problem including the meeting times of your class:
14. Any other comments:
