Gustavus Adolphus College Make Your Life Count Gustavus Adolphus College

Satisfaction Survey

Gender

Male
Female

Class year in school

Housing

On-campus
Off-campus

Rate your experience

Using a scale of 1–5, where 1 signifies Needs Improvement and 5 signifies Extremely Pleased, please rate your most recent experience in Health Service:

Experience
Scheduling your appointment	1	2	3	4	5	N/A
Check in process at the front desk	1	2	3	4	5	N/A
Experience with the nursing staff	1	2	3	4	5	N/A
Experience with the provider	1	2	3	4	5	N/A

Additional questions

Was your treatment plan clear to you at the end of your visit?

Yes No

Comments:

Was this your first visit to Health Service?

Yes No

Comments:

Have you used the Health Service website?

Yes No

Comments:

Would you recommend using Health Service to a friend?

Yes No

Comments: