1.
Where
do you usually go for your medical care?
2. About
how many times have you been to a private doctor's office, UCF Student
Health Services or clinic since the beginning of the Fall 2004 semester?
That would be from last August until today. (Please exclude dental,
eye exams, and emergency room visits.)
3. How
did you first find out about the Student Health Services?
4. In
general, how would you rate the overall quality of care you received
from the Student Health Services health care providers? (Please include
visits to a doctor, physician assistant, nurse practitioner or nurse.)
5. About
how many times have you been to Student Health Services to see a health
care provider since the beginning of the Fall 2004 semester? (Please
include visits to a doctor, physician assistant, nurse practitioner
or nurse.)
6. About
how many times have you been to the Student Health Services since the
beginning of Fall 2004 for another reason? (For example, pharmacy visits
or insurance form pickup)
7.
Overall,
when you called the Student Health Service Center for an appointment
or for another reason, how often were your calls handled promptly?
8.
Overall,
how often did the Student Health Service Center calling system or operator
facilitate your ability to connect with the services you needed?
9. After
calling for an appointment or walking into the Student Health Service
Center for a sick visit, how soon were you seen by medical staff?
10. When
you were sick or injured, how satisfied or dissatisfied were you with
how soon an appointment was available?
About
how many of these visits from the beginning of the Fall 2004 semester
were for regular checkups or physical exams?
12. How
satisfied or dissatisfied were you with how soon an appointment was
available for regular checkup visits?
Thinking
about all your visits to the Student Health Services to see a health
care provider since the beginning of the Fall 2004 semester, about how
long did you usually have to wait in the waiting room and the exam room,
until you were seen by the health care provider?
14. How
satisfied or dissatisfied were you with how long you had to wait to
see the health care provider?
15. Would
you prefer to wait a shorter time in the lobby and see the next available
health care provider or accept longer lobby waits, but have an appointment
with your preferred health care provider?
The
following questions are about the medical care that you received at
the Student Health Services from the beginning of the Fall 2004 semester.
If you have seen more than one health care provider, please rate the
provider you saw most often.
Very
Good
Good
Okay
Not
Very Good
Not
Good At All
16.
First,
rate your health care provider on whether he or she explains things
in a way you can understand.
17.
Now
rate how carefully the health care provider listens to what you
say, without interrupting or rushing you.
18.
What
about the courtesy, respect, and attitude of the health care provider?
19.
How
complete and careful are the medical exams and treatments given
by the health care provider?
20.
What
about the health care provider telling you ways to keep from getting
sick or injured and to stay healthy?
21.
What
about the courtesy, respect, and attitude of the appointment representative?
22.
What
about the courtesy, respect, and attitude of the receptionist?
23.
What
about the courtesy, respect, and attitude of the cashier?
Rate
your level of confidence with the Student Health Services staffs' ability
to maintain strict confidentiality of medical care information.
28 .How
satisfied or dissatisfied are you with the services provided by the
Pharmacy?
29. Rate
you level of satisfaction with how well the pharmacy staff explained
your medication (i.e., directions for use, side effects, answered your
questions, etc.) in a way you could understand.
30. Once
you started taking your medication, did you have any questions or concerns
that were not discussed with the pharmacy staff?
31. How
satisfied or dissatisfied are you with the Student Health Services weekday
(Mon - Fri 8:00 AM - 8:00 PM) hours of operation?
32. Which
Student Health Services hours would you be most likely
33. Where
do you reside?
34. What
is your student classification?
35. What
is your gender?
36. What
was your age on your last birthday?
37. What
is your race/ethnicity? (SELECT ALL THAT
APPLY)
38. Please
share any additional comments you may have about the medical care provided
by the UCF Student Health Services.
Thank
YouWe value your input.
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