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Health Services
400 South Orange Avenue
South Orange, N.J. 07079
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Phone (973)761-9175
Suggestions or Grievances?
health@shu.edu

Patient Satisfaction Survey

SETON HALL UNIVERSITY HEALTH SERVICES

Patient Satisfaction Survey
 

Please tell us how we’re doing…your responses help us in meeting the needs of students and in providing the highest quality of care.  Please take a few moments to fill out this Patient Satisfaction Survey form and provide any additional comments/suggestions.  When you are done, simply click the “Submit Survey” button…it’s that simple!  Thank you for helping us take care of you better!

 

Tell Us About Yourself:

 

Gender: Male Female
 
 
Year: Freshman        
Sophomore
Junior           
Senior       
Grad.
Law School
 
Housing: Resident Commuter   Age:

 

How many times have you visited Health Services? Once 1
Two - Four 2-4
Five - Seven 5-7
More than 8 >8
Reason for visit: Medical / Illness        
Injury (cut, sprain etc)
Immunizations           
Health Questions        
 
Did you make an appointment? Yes No
 

 

Rate the following                                                 Disagree                           Agree
             
Health Services location is convenient and accessible.   1 2 3 4 5
             
The Health Services office is clean and neat.   1 2 3 4 5
             
The staff was courteous and professional.   1 2 3 4 5
             
The staff was approachable and available for my needs.   1 2 3 4 5
             
I was seen by a health professional (RN, NP, MD) within a reasonable period of time.   1 2 3 4 5
             
The health professional listened carefully to me and spent sufficient time with me.                           1 2 3 4 5
             

The health professional answered all my questions regarding my diagnosis.

   1 2 3 4 5
             

My treatment plan and discharge instructions were clearly explained.

   1 2 3 4 5
             
Health educational materials were available.   1 2 3 4 5
             

Services were provided in a confidential and private manner.

   1 2 3 4 5
             

I was informed of any charges (fees) that I would be responsible for.

   1 2 3 4 5
   

Do you feel that the health care services provided to you helped you continue with your daily activities (attending classes, working, etc.)

 Yes       No
   
Would you recommend SHU Health Services to fellow students?            Yes       No
   

Could you make any suggestions on how we might improve our services for you ?

  

 

 

Follow Up:

If you would like to discuss your experience with us, please provide us with the following:

Name:

E-Mail Address:

Phone Number:

 

Thank you for your time and comments.

Please click on the “Submit Survey” button…it’s that simple!