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This qualitative case study explores how and why students respond to the Student Perceptions of Instruction (SPoI) survey at a public university in Southwest Florida. Although SPoI surveys aim to inform instructional improvement, results are limited by low response rates and incomplete submissions. The study addresses a gap in understanding students' lived experiences and motivations for participation. Drawing on student-centered evaluation theory, semi-structured interviews with 12 health sciences students were thematically analyzed. Findings highlight instructor approachability, course design, and student-driven factors like motivation and stress. While students wanted to give honest feedback, they doubted its impact. This study offers insights for redesigning SPoI to improve participation, equity, and data quality in higher education.