Dean on Call Survey Question Title * 1. What month did you call Dean on Call? Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Question Title * 2. Are you male or female Male Female Question Title * 3. What is your age? 24 or under 25-34 35-44 45-54 55-64 65 or older Question Title * 4. What prompted you to call Dean on Call? (Check all that apply) Unable to reach my Doctor by phone Unable to get an appointment with my Doctor Calling after Clinic closed Calling after Urgent Care closed Didn’t want to go to ED Wanted home care advice Question Title * 5. When you called Dean on Call, did you reach the nurse right away? Yes No Question Title * 6. If no, were you able to talk to the nurse in: Less than 15 minutes More than 15 minutes Question Title * 7. Please rate your overall satisfaction with the telephone conversation with the nurse. Excellent Good Poor Comments Question Title * 8. Did the nurse listen carefully, show respect for what you had to say, and explain things in a way that was easy to understand. Yes No Comments Question Title * 9. How did the nurse help you? (Check all that apply) Confirmed what I already knew Helped me feel better about my situation Provided health care information so I could care for myself Recommended that I be seen for further care Did nothing to help me Other Comments Question Title * 10. Did you follow the nurses’ recommendation? Yes No Comments Question Title * 11. What could we do differently to better meet your needs? Done