The Health Services would appreciate your input so we can better serve the community. If you have been seen recently in the office, please take a moment to answer a few questions on this form, and click submit.
Student SurveyThe Health Services would appreciate your input so we can better serve the community. If you have been seen recently in the office, please take a moment to answer a few questions on this form, and click submit. |
| 1. College Standing | Freshman | Sophomore | Junior | ||
| Senior | Graduate | Faculty/Staff | |||
| 2. Sex | Male | Female | |||
| strongly disagree | strongly agree | ||||||
| 3. It was easy to check in. | 1 | 2 | 3 | 4 | 5 | ||
| 4. The staff was courteous. | 1 | 2 | 3 | 4 | 5 | ||
| 5. The staff was attentive to my needs. | 1 | 2 | 3 | 4 | 5 | ||
| 6. I received an adequate explanation of my illness, test results or other procedures performed. | 1 | 2 | 3 | 4 | 5 | ||
| 7. The treatment and health instructions were explained clearly to me. | 1 | 2 | 3 | 4 | 5 | ||
| 8. The staff allowed adequate time to listen and answer my questions. | 1 | 2 | 3 | 4 | 5 | ||
| 9. The facilities were neat and clean. | 1 | 2 | 3 | 4 | 5 | ||
| 10. I was satisfied with the overall service provided this visit. | 1 | 2 | 3 | 4 | 5 | ||
| 11. I will continue to use the Health Center. | 1 | 2 | 3 | 4 | 5 | ||
| 12. My right to privacy, dignity, and confidentiality were respected by the staff. | 1 | 2 | 3 | 4 | 5 | ||
| Please make any comments or suggestions that would help improve student Health Services: | |||||||