logo
STUDENT HEALTH SERVICES

Student Health Services Evaluation

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?

Yes
No

If you chose "No" could you explain why you would not recommend Student Health Services

Do you have health insurance?

Yes
No

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?

Yes
No

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

We appreciate your feedback.