You must have JavaScript enabled to use this form. If you encounter a student who expresses dissatisfaction with their Lehigh experience and may be considering leaving because of it, please complete this brief survey. It includes a question on whether or not the student would like to be contacted by the Retention Office to discuss their situation. Our goal is not to invade students’ privacy, but rather help ensure we understand student needs, meet those needs, and help make their experience what they had hoped it would be. Your name (Faculty/Staff) Your relationship to student Student's name Why is this student thinking about leaving Lehigh University? What part of the Lehigh experience caused him/her to be dissatisfied? Please give as many details as you can. If you would prefer we would reach out to you please add your email address here. Would the student like to be contacted by a student support office? (Such as Office of Retention, Student Affairs, Academic Advising, etc.) Yes No I Don't Know