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Survey of Patient Satisfaction

Thank you for helping us evaluate our service by completing this survey!

1. Please check all categories to describe you.
Male
Female
LGBTQ
Freshman
Sophomore
Junior
Senior
Law
International/exchange student
NCAA athlete

Please rate your experience at the Student Health Center today to help us learn where we shine and where we need to grow. 

Self-Scheduling through the Student Patient Portal: 

Very Satisfied Satisfied  Not Satisfied N/A

SpiderCare Nurse triage by phone or in person:

Very Satisfied Satisfied  Not Satisfied N/A

Electronic Check-in: 

Very Satisfied Satisfied  Not Satisfied N/A

Respect shown to you during your appointment: 

 Very Satsfied  Satisfied   Not Satisfied  N/A

Explanation care and services from the following providers:

Administrative Staff: 

 Very Satisfied  Satisfied  Not Satisfied  N/A

Nurses: 

 Very Satisfied Satisfied  Not Satisfied N/A

Doctors

 Very Satisfied  Satisfied  Not Satisfied N/A

Athletic Trainer: 

 Very Satisfied  Satisfied  Not Satisfied N/A

Length of Visit: 

 Very Satisfied  Satisfied  Not Satisfied N/A
 Overall Experience: 
 Very Satisfied  Satisfied  Not Satisfied N/A

Please share additional feedback regarding your experience today or other SHC services: URWELL, Patient Portal, After Hours Triage, etc:

Optional:

For purposes of follow-up to your comments, please provide your contact information. Response is confidential.

Name:

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