BC Student Health Satisfaction Survey:
Please take this short, anonymous survey to provide feed-back about your in office visit. Your comments are appreciated and will be used to improve services. Thank you for your time.

Question Title

* 1. Was this your first visit with one of our providers/staff?

Yes

No

Question Title

* 2. How satisfied were you with the following:

	Very Dissatisfied				Very Satisfied
Ease of making an appointment	Ease of making an appointment Very Dissatisfied	Ease of making an appointment	Ease of making an appointment	Ease of making an appointment	Ease of making an appointment Very Satisfied
Cleanliness of the offices and rooms	Cleanliness of the offices and rooms Very Dissatisfied	Cleanliness of the offices and rooms	Cleanliness of the offices and rooms	Cleanliness of the offices and rooms	Cleanliness of the offices and rooms Very Satisfied
Wait time in the lobby before being seen by service staff/provider	Wait time in the lobby before being seen by service staff/provider Very Dissatisfied	Wait time in the lobby before being seen by service staff/provider	Wait time in the lobby before being seen by service staff/provider	Wait time in the lobby before being seen by service staff/provider	Wait time in the lobby before being seen by service staff/provider Very Satisfied
Degree that the service provided met your needs	Degree that the service provided met your needs Very Dissatisfied	Degree that the service provided met your needs	Degree that the service provided met your needs	Degree that the service provided met your needs	Degree that the service provided met your needs Very Satisfied
The confidentiality of your health information	The confidentiality of your health information Very Dissatisfied	The confidentiality of your health information	The confidentiality of your health information	The confidentiality of your health information	The confidentiality of your health information Very Satisfied

Other (please specify)

Question Title

* 3. The service provided today: (select all that apply)

Helped me meet a program or academic requirement

Improved my ability to succeed in class

Improved my overall health

Improved my illness or injury

Improved my mental health (stress, anxiety, depression)

Other (please specify)