SBHC student survey's 2011

Exit this survey

 

1. Please choose the following:

Please choose the following:   Male Female

2. What grade are you in?

What grade are you in?   7th 8th

3. How many times have you used the services at the Top Dog Clinic?

How many times have you used the services at the Top Dog Clinic?   None 1-3 4-7 8-12 More than 12

4. Are the staff at the Top Dog Clinic friendly and helpful?

Are the staff at the Top Dog Clinic friendly and helpful?   yes Most of the time No Never noticed

5. Overall how would you rate the Top Dog Clinic?

Overall how would you rate the Top Dog Clinic?   Excellent Good Okay Poor

6. When you visited the clinic what was the average amount of time you spent in the clinic being seen?

When you visited the clinic what was the average amount of time you spent in the clinic being seen?   I was seen in less than 15 minutes I had to wait 30 minutes I missed an entire class period I missed one class and part of another class

7. How likely are you to follow the advice of the health center staff?

How likely are you to follow the advice of the health center staff?   Very likely Likely Maybe Probably Not

8. Woudl you recommend the Top Dog Clinic to others?

Woudl you recommend the Top Dog Clinic to others?   Yes No

9. Did you know that in addition to treatment for illnesses, the Top Dog Clinic aslo offers the following services?

	Yes	No
Nutrition	*Did you know that in addition to treatment for illnesses, the Top Dog Clinic aslo offers the following services? Nutrition Yes	Nutrition No
Mental Health Counseling	Mental Health Counseling Yes	Mental Health Counseling No
Physicals for wellness and sports	Physicals for wellness and sports Yes	Physicals for wellness and sports No

10. What do you like best about the Top Dog Clinic?

What do you like best about the Top Dog Clinic?

11. This school year, the clinic has had funding difficulties, what ideas do you have as students to help with fund raising to keep the clinic open so the clinic can continue to offer services to the students at the middle school?

This school year, the clinic has had funding difficulties, what ideas do you have as students to help with fund raising to keep the clinic open so the clinic can continue to offer services to the students at the middle school?

12. Do you have any suggestions to improve our services that we offer to you? Please feel free to write them in the space provided.

Do you have any suggestions to improve our services that we offer to you? Please feel free to write them in the space provided.