Exit this survey Satisfaction with Nursing Services Survey 1. About Your Meeting Where did most of your contact with the nurse happen? Question Title * 1. Where did most of your contact with the nurse happen? Clinic Home Visit Office Phone Contact Other (please specify) The nurse I met with: Question Title * 2. The nurse I met with: Strongly disagree Disagree Neutral Agree Strongly agree Does not apply Was friendly. Was friendly. Strongly disagree Was friendly. Disagree Was friendly. Neutral Was friendly. Agree Was friendly. Strongly agree Was friendly. Does not apply Gave me information about my health concerns. Gave me information about my health concerns. Strongly disagree Gave me information about my health concerns. Disagree Gave me information about my health concerns. Neutral Gave me information about my health concerns. Agree Gave me information about my health concerns. Strongly agree Gave me information about my health concerns. Does not apply Gave me satisfactory services. Gave me satisfactory services. Strongly disagree Gave me satisfactory services. Disagree Gave me satisfactory services. Neutral Gave me satisfactory services. Agree Gave me satisfactory services. Strongly agree Gave me satisfactory services. Does not apply Connected me to community resources. Connected me to community resources. Strongly disagree Connected me to community resources. Disagree Connected me to community resources. Neutral Connected me to community resources. Agree Connected me to community resources. Strongly agree Connected me to community resources. Does not apply Kept scheduled appointments with me. Kept scheduled appointments with me. Strongly disagree Kept scheduled appointments with me. Disagree Kept scheduled appointments with me. Neutral Kept scheduled appointments with me. Agree Kept scheduled appointments with me. Strongly agree Kept scheduled appointments with me. Does not apply Please share any other thoughts you have about our services. Question Title * 3. Please share any other thoughts you have about our services. What do we do well? What should we improve on? Additional comments? Would you like us to contact you? If yes, please enter your name and contact information in the box below. Question Title * 4. Would you like us to contact you? If yes, please enter your name and contact information in the box below. Yes No Contact Information You're Done. Thanks!