1. Default Section

* 1. Student/Employee Status

* 2. Insurance Status

* 3. Accessing the Health Center

  Excellent Fair Poor
Ability to Be seen
Clinic hours
Scheduling/Registration Process
Getting through to clinic via phone

* 4. Wait times

  Excellent Fair Poor
Time in the waiting room
Wait time for provider

* 5. Support Staff (Check-In, Check-Out, Registration)

  Excellent Fair Poor
Friendly and helpful to you
Prompt Service
Answered your questions
Explained payment process
Explained insurance referral process (if applicable)

* 6. Nurse/Medical Staff

  Excellent Fair Poor
Friendly and helpful to you
Answered your questions

* 7. Provider Staff (MD, DO, FNP)

  Excellent Fair Poor
Friendly and helpful to you
Spent adequate time answering your questions

* 8. Facility

  Excellent Fair Poor
Neat and clean
Ease of finding where to go
Privacy

* 9. Student Wellness-- What programs would you like to see offered on campus?

* 10. Please make suggestions for improvement. If you would like us to contact you about your visit today please leave your email or phone number

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