Student Health Center
Student Health Center Western Washington University  
The Division of Student Affairs and Academic Support Services
Student Health Center Student Health Center
Contact Us
Department Site Index
The Division of Student Affairs and Academic Support Services
Health Center Home
General Information
Clinical Services
Measles Requirement

Emergencies

Meet the Staff
Western Washington University Home Page
Campus Index
Campus Search
Campus Directories
 
 
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. Tom Schneider 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:
first year
1-2
3-4
5-6
7-9
10 or more
 
Residence:  On Campus    Off Campus
 
 
Thank you for taking the time to fill out this survey!
We value your questions and comments:

 

 

 

 

 

 
 
 
 
   

Health Center Home | Clinical Services | Measles Requirement
Insurance and Billing | Emergencies | Travel Clinic | Meet the Staff
WWU Home | Index | Search | Directories