This survey is anonymous and voluntary. Please do not write your name on the survey. The information you provide will be used to plan services and provide programs to students at SU. A copy of the survey will be made available to any student who makes a request through Student Health Services. Questions or concerns regarding the ethics of the survey may be directed to Dr. Betsey Corby, Director of Grants and Sponsored Research. Her contact number is 410-548-5395. Please be as honest as possible in completing this questionnaire. You may leave questions unanswered if you choose to. We appreciate your time and thoughtful responses.

Class: Freshman Sophomore Junior Senior Graduate
Age:  Under 18   18 - 20   21 - 24    Over 24 
Gender: Male Female
1. Have you ever utilized Student Health Services? Yes:   No:
2. If yes, how did you learn about the services offered to students at Student Health? (Check all that apply):  (if no, skip to question 4)
New Student Orientation/ASAP class
Website
A friend told me
My parent told me
Brochure
On campus newsletter/newspaper
A faculty/staff member told me
I called to find out
Someone came to my class
Heard about service on campus TV or radio
Saw an advertisement or flyer
Attended a campus activity
Other:
3. How would you rate:
  Excellent Good Average Poor N/A
Medical knowledge of staff
Friendliness/Helpfulness
Time medical personnel spent
Ease of making/securing appointment
Amount of time in waiting area
Communication skills of staff
Follow-up by staff
Self Care Center
Overall experience in SHS
 
4. What qualities are most important to you in utilizing a health care facility on
Campus? (Check no more than 3)
Convenient location
Confidentiality
Reasonable cost
Convenient hours
Ability to get an appointment in a reasonable period of time
Professionalism and knowledge of medical staff
Helpfulness of staff
Other:
 
5. What services are important to you? (Check all that apply)
Treatment for acute illness or injury
Ability to obtain orders for diagnostic
Immunizations
Self Care Center (over the counter medications and instructions)
STD screening
HIV screening
Wellness programs / health promotion
Smoking cessation
Nutritional counseling
Weight management
Monitoring of psychological conditions
Free condoms
Monitoring of chronic health conditions
Other:
 
6. Is a $5 patient visit fee a reasonable amount of money to charge students to
be seen?
yes No
7 Do you have health insurance?
yes No
8. If you have never used Student Health Services, do you know about the service?
yes No
9. Would you utilize Student Health Services if you became ill or injured?
yes No
10. If you answer no, why not?
Don't know where it is
Costs money to be seen
I had a bad experience
My friend had a bad experience
Hours are not convenient
Don't provide the service a need (please name):
Other:
  Additional Comments: