1. Student Health Services Satisfaction Survey
Exit this survey >>
1
. Date of Service:
MM
DD
YYYY
Date:
Date of Service: Date: Month
/
Day
/
Year
2
. Was this your first visit to Student Health Services?
Was this your first visit to Student Health Services?
Yes
No
3
. How did you find out about the services offered by Student Health?
How did you find out about the services offered by Student Health?
Orientation
Friend
Faculty/Advisor
Website
Other
4
. Were you treated by:
Were you treated by:
Linda McDade, R.N.
Sr. Anita Maleski, C.R.N.P
5
. Overall, how satisfied were you with the treatment you received?
Overall, how satisfied were you with the treatment you received?
Excellent
Satisified
Dissatisfied
If dissatisfied, please comment
6
. What did you like the most about the treatment you received?
What did you like the most about the treatment you received?
7
. What did you like the least?
What did you like the least?
8
. How can we improve our service?
How can we improve our service?
9
. Comments
Comments
Thank you for giving us the opportunity to serve you.
Student Health Services Staff
Survey Powered by:
SurveyMonkey.com
"Surveys Made Simple."
Javascript is required for this site to function, please enable.