Was this your first SHS visit?
Yes No
How did you hear about SHS? (check all that apply)
Other student The Sunflower Student Health website Student Health Facebook page Orientation CHP Requirement Campus Program Campus Information Channel Other
If you chose "Other" please specify how you heard about us
What services did you use today?
Acute Illness/Accident Immunization/TB Test Lab Women's Health PE/Program Dr. Visit
Would you recommend Student Health Services to other students?
If you chose "No" could you explain why you would not recommend Student Health Services
Do you have health insurance?
If you have health insurance what type do you have?
Parents Private UHCSR Medicaid Unknown No Insurance
What facilities do you use on campus? (check all that apply)
RSC Heskett Library Residence Hall Other
If you chose "Other" tell us what facilities you use
Do you read campus bulletin boards?
If you chose "Yes" tell us which bulletin boards you read
What Internet sites do you use the most?
Facebook Twitter Myspace Other
If you chose other, tell us what Internet sites you use the most
What is the best way to communicate with you about new services at SHS (check all that apply)
Programs Mail E-mail Bulletin Boards Facebook Cell Phone Website Posters/Handouts
Other Comments/suggestions:
400 characters Max
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