Survey of Dial-A-Nurse Services

Please help us evaluate our service to you by completing this survey. This survey may also be completed at the Student Health Center located in the Special Programs Building. A collection box has been placed in the waiting room for your convenience. 

1. Please check the appropriate categories to describe you.

Male FemaleLGBTQ

Residential Student
Commuter Student

 Freshman
Sophomore
Junior
Senior		 Graduate
Law
Other
2. Please consider each question and score your level of satisfaction 1 - 5 with 5 being the most satisfactory.
Questions Score
How satisfied were you with the overall DAN service?
How satisfied were you with the respect you were given by the nurse when you called DAN?
How satisfied were you with the advice, educational information, or recommendations you received from the nurse regarding your concern/illness?
3. Was the advice, educational information, or recommendations helpful?
Yes No
If no, please explain:
4. Did you follow the advice given by DAN?
Yes No

If no, please explain:
5. Did you seek medical treatment later at the SHC for this concern?
Yes No
6. Did you seek medical treatment later off-campus for this concern?
Yes No
7. Additional comments and suggestions for improving the Dial-A-Nurse Service are welcome.
8. OPTIONAL: So that we may follow up on your comments/suggestions, please provide the following information. It will remain confidential and within the Student Health Center. Thank you.
Name:
Phone:
Address:
Thank you for completing this survey to help improve services at the SHC.