Patient Satisfaction Survey

Thank you for your recent visit.  We value you as a patient and want to ensure that our level of care and service met your needs.  As part of this effort, please complete this brief survey about your most recent visit.  Thank you for helping us to evaluate and improve our services. 

Gender:

Status:

Please rate your satisfaction with all items relevant tor your most recent visit.

1.) The ease of scheduling an appointment met my needs.

2.) I spent an appropriate amount of time in the Health Center to complete my appointment.

3.) The check-in and check-out processes were efficient.

4.) The registration staff were friendly, courteous and helpful.

5.) The nursing staff assisting my provider were friendly, courteous and helpful.

6.) I spent an adequate amount of time with my provider.

7.) My provider thoroughly explained my condition and recommended treatment in a way I could easily comprehend.

8.) I received explanations about payment and billing options.

9.) I felt my confidentiality and privacy were carefully protected.

10.) The Health Center clinic was clean and comfortable.


11.) Services provided by the laboratory were:

12.) Services provided by the pharmacy were:

13.) My overall experience was:


14.) Would you recommend the Health Center to another student?

15.) Would you use the Health Center again?


Any additional comments:

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