Student Health Center

The Division of Student Affairs and Academic Support Services

Please fill this survey out after every visit. We will use this information to to better serve you in the future.

Your experience with the Provider

Which provider did you see today?
Dr. Sara Cuene	Dr. Gail Knops	Dr. Robert Watson
Dr. Emily Gibson	Dr. Mark Zarzycki	Susan Jones, ARNP
Dr. Lorna Gober	Dr. Margaret Mamolen	Kerry Mitchell, ARNP
Dr. Warren Howe	Dr. Susan Hakeman	Sue Rodgers, ARNP
Not Sure

The provider I saw during my visit:

Agree Disagree N/A

Seemed caring and able to meet my needs.

Showed interest in my health concerns and allowed me to fully explain things to them.

Made me feel as though my problems were important and not a waste of time.

Explained my diagnosis, medications, tests and treatment to my satisfaction.

Answered any questions I had to my satisfaction.

Provided preventative health education appropriate to my needs.

I have confidence in this clinician's ability.

I would willingly choose to see him/her again for future health care needs.

Comments

Your experience with the nurses

The nurse who assisted me today:

Agree Disagree N/A

Provided a confidential setting for my visit.

Provided preventive health education appropriate to my needs.

Seemed caring and wanting to help.

Showed interest in my health concerns and any questions I had about medications, procedures etc.

Made me feel as though my problems were important and not a waste of time.

Comments

Your experience with the receptionists

Your experience with the receptionists:
Super Good Neutral Poor Terrible Not applicable	Comments

Please rate the following:

Agree Disagree N/A

I was able to get an initial appointment within a reasonable amout of time.

The receptionists asked me questions about my visit to assess the level of urgency.

Your overall experience

Your overall experience with the Student Health Center:
Super Good Neutral Poor Terrible Not applicable	Comments

Please rate the following:

Agree Disagree N/A

The patient care areas were very clean

I would refer a friend to the Student Health Center

I felt that I was treated without bias regarding race, gender, age, handicap or sexual preference.

If you disagreed with the questions above please tell us why

Did it seem like you had an unreasonable wait DURING THIS VISIT in any area of the Health Center?

Yes
No
Does not apply

If yes, tell us where you waited and for how long. Please offer suggestions.

Were the health problems you were experiencing affecting your academic performance or progress?

Yes
No
Does not apply

If yes, please explain.

Thank you for filling out the survey to this point. The below information is very useful to us, but we only need each individual to fill it out once per academic year. If you have not filled out the below information this year, please do so now. Otherwise scroll to the bottom and submit your survey as-is. Thank you!

Why did you choose the WWU Student Health Center?

Personal Preference
Convenience
Friend/Student Recommendation

Doctor Recommendation
I paid the Health Services Fee.

Other (Please explain)

How did you learn about the WWU Student Health Center?

Friends
Orientation
Professor/Advisor

Campus Information
Western Front

Other (Please explain)

In addition to the Health Center, what other health facilities have you used while attending WWU?

Personal Family Physician
Urgent Care Clinic

HMO/PPO
Did not use any other health facility

Other (Please explain)

What is your primary reason for coming to the Student Health Center?

General Illness
Chronic Illness Management
Women's Health (Birth Control)

Sports/Injury Rehabilitation
Allergy/Immunizations
Travel

Other (Please explain)

Some information about you:

Your age:

Your classification (check all that apply):

Under-graduate
Post-baccalaureate
Graduate Student

International Student
Transfer Student

Your sex:

Male Female Transgender Transsexual Choose not to disclose

Your ethnic background:

African American
Asian or Pacific Islander
Caucasian

Hispanic or Latino
Native American or Alaskan Native
Other

Number of years you've attended WWU:

Residence: On Campus Off Campus

Thank you for taking the time to fill out this survey!
We value your questions and comments: