Student Health Advisory Committee Survey

1. Haverford College Morris Health Services

1. Graduation Year

Graduation Year 2012

2013

2014

2015

Please give email address if you wish to be entered for prize/raffle.

2. How often do you use the Health Services per year?

How often do you use the Health Services per year? Over 10 Times

7-10

4-6

1-3

Never

3. Why do you go to the Health Services? (Please rate all that apply.)

	Poor	Fair	Good	Very Good	Excellent
Women's Health Services	*Why do you go to the Health Services? (Please rate all that apply.) Women's Health Services Poor	Women's Health Services Fair	Women's Health Services Good	Women's Health Services Very Good	Women's Health Services Excellent
Reception area	Reception area Poor	Reception area Fair	Reception area Good	Reception area Very Good	Reception area Excellent
On-Line Insurance Waiver Process	On-Line Insurance Waiver Process Poor	On-Line Insurance Waiver Process Fair	On-Line Insurance Waiver Process Good	On-Line Insurance Waiver Process Very Good	On-Line Insurance Waiver Process Excellent
College Insurance Plan - BCS	College Insurance Plan - BCS Poor	College Insurance Plan - BCS Fair	College Insurance Plan - BCS Good	College Insurance Plan - BCS Very Good	College Insurance Plan - BCS Excellent
Substance Abuse Educator	Substance Abuse Educator Poor	Substance Abuse Educator Fair	Substance Abuse Educator Good	Substance Abuse Educator Very Good	Substance Abuse Educator Excellent
Massage Therapist	Massage Therapist Poor	Massage Therapist Fair	Massage Therapist Good	Massage Therapist Very Good	Massage Therapist Excellent
Orthopedic/Sports Medicine	Orthopedic/Sports Medicine Poor	Orthopedic/Sports Medicine Fair	Orthopedic/Sports Medicine Good	Orthopedic/Sports Medicine Very Good	Orthopedic/Sports Medicine Excellent
Registered Dietitian	Registered Dietitian Poor	Registered Dietitian Fair	Registered Dietitian Good	Registered Dietitian Very Good	Registered Dietitian Excellent
College Physician	College Physician Poor	College Physician Fair	College Physician Good	College Physician Very Good	College Physician Excellent
Nurses walk-in clinic	Nurses walk-in clinic Poor	Nurses walk-in clinic Fair	Nurses walk-in clinic Good	Nurses walk-in clinic Very Good	Nurses walk-in clinic Excellent
Allergy clinic	Allergy clinic Poor	Allergy clinic Fair	Allergy clinic Good	Allergy clinic Very Good	Allergy clinic Excellent
Nurse Practitioner	Nurse Practitioner Poor	Nurse Practitioner Fair	Nurse Practitioner Good	Nurse Practitioner Very Good	Nurse Practitioner Excellent
Travel Clinic	Travel Clinic Poor	Travel Clinic Fair	Travel Clinic Good	Travel Clinic Very Good	Travel Clinic Excellent
Insurance billing Service	Insurance billing Service Poor	Insurance billing Service Fair	Insurance billing Service Good	Insurance billing Service Very Good	Insurance billing Service Excellent
Cold/Flu Self Care Clinic	Cold/Flu Self Care Clinic Poor	Cold/Flu Self Care Clinic Fair	Cold/Flu Self Care Clinic Good	Cold/Flu Self Care Clinic Very Good	Cold/Flu Self Care Clinic Excellent

4. Please check all services used at the Health Center.

Please check all services used at the Health Center. Tested for STD

Tested for HIV

Tested for pregnancy

Emergency contraception (Plan B)

Routine contraception

Condoms

General Medicine

General Women's Health

Cold /flu Clinic

Insurance billing question/concern

Allergy Clinic

Travel Clinic

Sports Medicine Clinic

Counseling session with the Substance Abuse Educator

Nutritional Counseling

Attended Student Health Services Fair

Other (please specify)

5. Please check all vaccines or services you have received at the Health Services this year.

Please check all vaccines or services you have received at the Health Services this year. Seasonal Flu Vaccine

Hepatitis A

Hepatitis B

Allergy Injections

Typhoid

Tetanus

Meningitis (Menactra)

HPV(Gardasil)

Polio

Japanese Encephalitis

Rabies

Measles, Mumps, Rubella (MMR)

PPD-TB Testing

6. Have you used your health insurance for billing at the Health Center?

Have you used your health insurance for billing at the Health Center? Yes

Other (please specify)

7. Preference on how to pay Health Services bill

Preference on how to pay Health Services bill Use personal insurance with ease

Use personal insurance but had problems

Insurance not taken at Health Center

Bill to student account only

Prefer to pay bill with cash/check

Prefer to pay by credit card/debit card

Other (please specify)

8. Please check all that apply of outside reference labs (Quest) you have had completed.

Please check all that apply of outside reference labs (Quest) you have had completed. None

CBC (Complete Blood Count)

Chemistry

Throat Culture

Urine Culture

Iron Test

STD testing

Pap smear

Thyroid test

Mono test/Liver Enzymes

9. Are there other services/wellness activities you would like to see available at Health Services?

If you are interested in joining the Student Health Advisory Committee or the Eating Issues and Body Image Council please give name/or email address.

Please tell us your experience with the new billing system at the Health Center?

THANK YOU.

Are there other services/wellness activities you would like to see available at Health Services? If you are interested in joining the Student Health Advisory Committee or the Eating Issues and Body Image Council please give name/or email address. Please tell us your experience with the new billing system at the Health Center? THANK YOU.

10. Have you had any positive or negative experiences with the Health Services at Haverford that you would like to share?
THANKS for filling out this Health Services survey.

Have you had any positive or negative experiences with the Health Services at Haverford that you would like to share? THANKS for filling out this Health Services survey.

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1. Haverford College Morris Health Services

Student Health Advisory Committee
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