Davison Health Center - Patient Satisfaction Survey

In our continued effort to provide responsive, quality health services, we ask that you complete the following questions. We would like to thank you, in advance, for taking the time to provide us with your feedback.

 

I am a

First Year student

Sophomore

Junior

Senior

Graduate student

Partner of a student

Did you make an appointment or walk in?

Appointment

Walk-In

Time and day of your visit

 

  1. The reason(s) I came to the Health Center for my most recent visit (check each one that applies)

Illness

Injury

Wellness and Sexual Health

GYN services

Lab Testing

Medication refill

Allergy Injections

Immunizations

Travel Consult

Healthy Eating Program

WesWell

Medical Advice/lab results

Nutritionist

HIV Counselor

Other (type reason here)

  1. The following statements refer to access and convenience of the Health Center, the care you received during your visit, and your feelings about the staff:
    1. The Health Center hours are convenient for me

Strongly Agree
Agree

Neutral

Disagree
Strongly disagree

    1. The time spent waiting in the Health Center was reasonable

Strongly Agree
Agree

Neutral

Disagree
Strongly disagree

    1. The allergy/immunization appointments are convenient for me

Strongly Agree
Agree

Neutral

Disagree
Strongly Disagree
Not applicable

    1. The clinic provided me with the care I expected

Strongly Agree
Agree

Neutral

Disagree
Strongly disagree

    1. I understood all the tests and/or examination that were done on my most recent visit

Strongly Agree
Agree

Neutral

Disagree
Strongly disagree

    1. Information given to me about my health and/or medication was clear and complete

Strongly Agree
Agree

Neutral

Disagree
Strongly disagree

    1. The staff was friendly and helpful

Strongly Agree
Agree

Neutral
Disagree
Strongly disagree

    1. The staff treated me with respect, consideration and dignity

Strongly Agree
Agree

Neutral

Disagree
Strongly disagree

    1. I was provided with appropriate privacy and confidentiality

Strongly Agree
Agree

Neutral

Disagree
Strongly disagree

    1. The staff gave me opportunities to ask questions

Strongly Agree
Agree

Neutral

Disagree
Strongly disagree

    1. The staff listened to me effectively

Strongly Agree
Agree
Neutral

Disagree
Strongly disagree

  1. Would you recommend the Health Center to other students?

Yes

No

If no, why not?

4). How do you feel our overall services could be improved?

5). What questions do you have regarding the Health Center? (A response will be given if you provide your email address at the end of the survey)

6) What other services would you like provided at the Health Center?

7). If you are interested in becoming a member of the Student Health Advisory Committee (SHAC), please provide your name and contact information below.
Go to www.wesleyan.edu/healthservices/geninfo/shac.html for more information.

 

8). Additional Information you would like staff to know.

You will be contacted if you had any specific questions requiring a reply if you provide your email address below.

Name (optional)

Phone number (optional)

Email (optional)