How was your visit? » Equal Access Clinic Network » College of Medicine

Patient Satisfaction Survey

Equal Access Clinic Network is always looking to improve! In doing so, your input as a patient is crucial. Help us provide better care to you by providing a short feedback survey on your most recent visit. Please be aware that this feedback is completely anonymous and you will not have to provide any personal information.

General information
Which Equal Access clinic did you visit?*
Was your most recent visit within the last two months?*
Feedback from your most recent visit
Were you able to sign in and receive paperwork immediately after arriving?
How long was your waiting time between handing back paperwork and getting vitals measured?
(Vitals include measurements of blood pressure, temperature, weight, etc.)
How satisfied were you with the service you received from the undergraduate volunteer?
(The undergraduate volunteer measured your vitals.)
Did you feel comfortable with procedures and service from the undergraduate volunteer?
How long was your wait time between being seated again and being seen by a medical student?
How satisfied were you with the service you received from the medical student volunteer?
Did you feel comfortable with procedures and service from the medical student volunteer?
How satisfied were you with the service you received from the physician?
Was your health issue addressed and was a plan (or a follow up appointment) established?
How did you feel about your experience with Equal Access Clinic overall?
If you submitted "somewhat dissatisfied" or "very dissatisfied" for any of the previous questions, please let us know why so we can improve.
Potential services
What resource would you like to see added to Equal Access Clinic services?
Would you utilize free birth control?
Would you be interested in accessing psychiatry help?
Please submit any additional comments or criticisms here. We appreciate any suggestions for improvement in our clinics.
Name
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Patient Satisfaction Survey

General information

Feedback from your most recent visit

Potential services