USI University Health Center Patient Satisfaction Survey

The USI University Health Center would like your help so that they may better serve the USI community.
Your participation is completely voluntary, and your responses will remain confidential.
Thank you very much for your participation.

Click 'Next' to begin the survey.

  Within the past month you used the services of the USI University Health Center.  Prior to this visit, had you ever used the services of the USI University Health Center?

 
  During your most recent visit to the USI University Health Center, who did you see? (Please select one)

 
  Please rate your level of satisfaction with the care you received from the Q3 at the USI University Health Center.

  Very Dissatisfied   Dissatisfied   Neither Dissatisfied nor Satisfied   Satisfied   Very Satisfied   Not Applicable  
  Courtesy of physician            
  Physician's patience and interest in your problem            
  Amount of time physician spent with you            
  Physician's explanation of illness and treatment            
  Physician's explanation of medication prescribed            
  Please rate your level of satisfaction with the care you received from the nurse practitioner (Melissa Attebury) at the USI University Health Center.

  Very Dissatisfied   Dissatisfied   Neither Dissatisfied nor Satisfied   Satisfied   Very Satisfied   Not Applicable  
  Courtesy of nurse practitioner            
  Nurse practitioner's patience and interest in your problem            
  Amount of time nurse practitioner spent with you            
  Nurse practitioner's explanation of illness and treatment            
  Nurse practitioner's explanation of medication prescribed            
  Please rate your level of satisfaction with the care you received from the health care provider(s) at the USI University Health Center.

  Very Dissatisfied Dissatisfied Neither Dissatisfied nor Satisfied Satisfied Very Satisfied Not Applicable  
  Courtesy of provider  
  Provider's patience and interest in your problem  
  Amount of time provider spent with you  
  Provider's explanation of illness and treatment  
  Provider's explanation of medication prescribed  
  Please rate your level of satisfaction with the following aspects of the USI University Health Center.

  Very Dissatisfied   Dissatisfied   Neither Dissatisfied nor Satisfied   Satisfied   Very Satisfied   Not Applicable  
  Location of the USI University Health Center            
  Convenience of the USI University Health Center            
  Ease of scheduling appointments            
  Amount of time spent in waiting room            
  Courtesy and helpfulness of receptionist            
  Courtesy and helpfulness of nurse            
  Provider's ability to provide clear instructions regarding your illness and treatment            
  Based on your most recent experience, who would you be most likely to schedule an appointment with in the future?

  Are you satisfied with the hours of operation of the USI University Health Center?

 
  The length of your response is not limited by the size of this box.
  Are you aware that the USI University Health Center now offers over the counter and prescription medications?

  How would you rate your overall satisfaction with the USI University Health Center?

  Would you recommend the USI University Health Center to a fellow student?

 
  The length of your response is not limited by the size of this box.
  What is your gender?

  What is your age?

  What is your affiliation with USI?

  What is your current class standing?

  What is your ethnicity?

 
 
  The length of your response is not limited to the size of this box.
  Would you like an opportunity to discuss your visit or comments?

  Please fill out your contact information.

   
   
   
   


Thank you for your assistance.
Your time and thoughts are greatly appreciated.
Please click 'Submit' to complete this survey.

 
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