Student Satisfaction Survey

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Student Satisfaction Survey
Please answer the following questions as honestly as you can. Your feedback will allow our staff to evaluate and improve our services. Your individual comments will be kept confidential but included anonymously in a summary of responses. Thank You!

Part One: Geneal Information

Ethnicity		Classification
Anglo American	Native American	Fr	So
African American	Asian American	Jr	Sr
Hispanic American	International Student	Alumni	Faculty/Staff

Age
18 and under 19-20 21-22 23-24 25+

How many times have you received Career Services assistance in the last 12 months (including online).
1 2-5 6-10 11 or more

Please indicate your reason for visiting the Health Clinic (check all that apply):
	Allergy injection	Eye/ear/nose	Urinary/dysmenorrhea
	Vaccine injection	Gastrointestinal (stomach)	Pregnancy test
	Blood pressure check	Headache	Health question
	Blood sugar check	Minor/major injuries	Sexual concerns
	Counseling	Respiratory	Follow-up visit
	Dental/mouth	Throat	Request/file health records
	Dermatologic (skin condition)	Other:

Please indicate who referred you to Health Services
Self	Faculty	Chaplain	Residence Life Staff
Friend	Parent/Relative	Nurse	Staff/Administrator

Part Two: Evaluation of Career Services

Indicate the extent to which you agree or disagree with each of the statments below:	Strongly Agree	Agree	Disagree	Strongly Disagree
I felt comfortable in the waiting area.
I was greeted timely and courteously.
The nurse was competent and knowledgeable.
I would recommend the nurse/health services to others.
Health concern questions were answered satisfactorily.
The clinic hours were convenient for my needs.
The health clinic is a valuable resource and service for McMurry.
I would use the health clinic again if necessary.
I trust that information about me will be kept confidential.

Please rate your satifaction with the following:	Excellent	Good	Fair	Poor
Satisfied with the decision you and nurse made about your care.
The nurse listened to and understood your concerns.
Health information was available in the waiting room.
Staff were knowledgeable and helpful to you.

Please respond to this section only if you were referred off campus for your health care needs: Referred to: Doctor Dentist Health Dept. Other Clinic
	Yes	No
Were you satisfied with how the referral was handled?
Was the appointment made for you?
I would rather make my own appointment if necessary.
I would rather the nurse set up the appointment.
Did you go to your scheduled appointment?
Was the referred visit satisfactory?
Would you return to this referral if necessary?

Part Three: Your Input

How could we improve McMurry Health Services?	Additional Comments

Note: Only the questionnaire information is received when submitting your responses.
No names or e-mail addresses are forwarded with the responses.

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