Question Title

* 1. Please select which best describes you

Question Title

* 2. Please select the service you received at the Occupational Health Services clinic

Question Title

* 3. How many minutes did you wait prior to seeing a care provider?

Question Title

* 4. The staff greeted you in a friendly manner

Question Title

* 5. The staff made you feel comfortable during your visit

Question Title

* 6. The staff listened to you with complete attention

Question Title

* 7. The staff showed concern for your problem

Question Title

* 8. The staff communicated to you on what to expect during the visit

Question Title

* 9. The staff set expectations on the results of your exam

Question Title

* 10. The staff provided explanation on any tests that were recommended

Question Title

* 11. The staff answered all your questions to your satisfaction

Question Title

* 12. I would recommend the Occupational Health Services clinic to others?

Question Title

* 13. What did you like most about your care?

Question Title

* 14. What suggestions for improvement could you offer?

Question Title

* 15. Would you like us to contact you? (If yes, please provide your name and contact information)

T