Have any suggestions for us?

If you are looking to request a presentation or tabling for your event, please visit the appropriate form under go.fiu.edu/shwforms

Your feedback is important to us. When finished filling out this form, please feel free to ask to speak with an administrator or supervisor, if needed.

If you would like us to get back to you, please make sure to input your Panther ID, phone, and/or FIU email. Otherwise, we are not able to contact you.

Date Date / MM / DD YYYY
Name Name First Last
Panther ID
Phone Phone - ### - ### ####
FIU Email
Is it OK to contact you to follow up?

Is it OK to contact you to follow up? Yes No

Make sure to input your Panther ID, phone, and FIU email if you would like us to get back to you.
This message is a...

This message is a... Compliment Complaint Comment
It concerns the following department(s)

It concerns the following department(s) SHW as a whole Counseling & Psychological Services Dean of Students Office Healthy Living Program Student Health Clinics Student Conduct and Academic Integrity Victim Empowerment Program
This message is in regard to the following aspects of our services:

This message is in regard to the following aspects of our services: Missed appointment fee Charges/fees Provider complaint General complaint Other Other
Please write your feedback here:

Don't forget!
Make sure to input your Panther ID, phone, and FIU email if you would like us to get back to you. Otherwise, we are not able to contact you.