(313) 577-4051 | campushealth@wayne.edu | health.wayne.edu

The Campus Health Center would like to know how well we served you. Please tell us how much you agree or disagree with these statements and check only one box for each statement. 

NOTE: The clinician is the person who saw you at the clinic today (the nurse practitioner, the student nurse practitioner, the nurse, the medical assistant).

Your responses are completely anonymous, unless you chose to share your contact information at the end of the survey for us to follow up with you.

Developed jointly by the Institute for Nursing Centers and the Nursing Centers Research Network, 2008.

* 1. Please tell us how much you disagree or agree with the following:

  Strongly Disagree Disagree Agree Strongly Agree Does Not Apply
It was easy to make contact with the clinic by phone.
The person on the clinic phone was very helpful
The clinic staff returned phone calls as soon as possible.
The clinician answered questions in a way I could understand.
The clinician listened carefully to what I had to say.
The clinician explained problems and treatments clearly.
The clinician was careful and thorough.
I am satisfied with the amount of time the clinician spent with me during my visit.
The clinician showed me respect and courtesy.
The office staff showed me respect and courtesy.
The clinician considered my beliefs about health and healing.
I was satisfied with the care I received at the clinic.
The handouts I received were easy to read and follow.
The overall quality of care I received at the clinic was good.
I am treated the same as other people who get care here.
The clinic works with me to make care affordable.
The clinic follows up on my tests, treatments, and referrals.
The clinic helps me get the health care I need.
I can get an appointment when I need it.

* 2. I would tell another student to use this clinic.

* 3. I will probably use this clinic again.

* 4. Main reason for visit:
(Please check only one response)

* 5. Whom did you see today?

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50% of survey complete.

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