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Student Health and Counseling Center
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Satisfaction Survey


What do you think about the SHCC?

We want to know how we’re doing so we can better serve our students!
Is there something that you think is terrific about our Center? Tell us!
Is there something we could offer to help you? Let us know!
Our Satisfaction Surveys are an important voice and we’re listening! 

Thanks for helping us to assist you!

 

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scheduled by phone    
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Scale Definition
1-poor 2-Fair 3-Good 4-Very Good 5-Excellent

Please rate services that you received by using the above scale

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SCHEDULING AN APPOINTMENT

YOUR VISIT WITH THE PROVIDER
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Did your health problem prevent you from doing your best in school?
yes    
no    
yes    
no    
Has the Student Health and Counseling Center in any way been a part of your success?
Are there ways that we can better protect your privacy?

Please provide your name, address, and phone number if you would like feedback regarding your comments.
 
 
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Page Updated: 1/12/10  By:  Krista Card