Student Service Program-Health Center




CSM Student Services Program Improvement Surveys:
Health Center


Your Feedback Is Requested…
Our success depends on how well we serve students. Your feedback helps us deliver the best possible service – something we work to improve every day. Please take a few minutes to complete this survey and give us your opinion of the service you received. Also, we encourage you to give us your comments and suggestions.

1. Overall quality of Health Center Services received:

Excellent
Very Good
Good
Fair
Poor

2. Overall satisfaction with Health Center staff:

Excellent
Very Good
Good
Fair
Poor

3. Ability of the Health Center staff to answer my questions:

Excellent
Very Good
Good
Fair
Poor

4. Which of the following Health Center Services are you likely to use in the future? [check ALL that apply]

Physicals  
STD's/HIV Testing  
Birth Control/Pregnancy Tests  
Immunizations  
Emergency Care  
Blood Test  
Blood Pressure Check as an Extra Credit Project  
Psychological Services  

5. Did information received from the Health Center help you make healthier choices about your personal life?

Yes
No

6. If you answered "YES" to question #5 (above), what information did you find helpful?

7. How often have you used the Health Center this semester?

One time
3-6 times
7-10 times
More than 10 times

8. What Health Center services did you find most useful?

9. What Health Center services do you wish we could provide?