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Student Health Service Surveybrief

Please remember that your responses should reflect 2009 - 2010.
Please select your gender: Male Female Trans-gender
Please check whether you are: Undergrad Grad Employee
Please check whether you are: Under 21 21-29 30-59    Over 60
Please check who provided care to you:
Dr. Ancona Dr. Kiuhara Donna D'Angelo Kathy Oberfeldt FNP
Barbara Birstler RN Randi Loncle EveningRN Joan Atassi RN
Please check any service you were provided:
Urgent Care Appointments for General Medical Care
Laboratory Services Appointments for counseling services
STD Testing Prescription Medication delivered by local pharmacy
Allergy Clinic Over-the-Counter Medication
Health Education Routine Exams (Physicals, Pap Smears, Etc)
How would you rate your experiences
with the following:		 Poor
1
 
2		Fair
3
 
4		Excellent
5
Making appointments by telephone:
Availability of appointments for Counseling:
Availability of appointments for Student Health Service:
Length of wait:
Comfort level of waiting room/office:
Response to acute problems/emergencies:
Level of care from Health Services Staff:
Laboratory Services:
Health Education:
Prescription Medicine Delivery: