Student Satisfaction Survey

Submitted by Lorraine Matteis, R.N.,C., B.S., Director of Health Services,
Lyndon State College, Lyndonville, Vermont 05851

TO BETTER SERVE YOU, THE STUDENT AFFAIRS ANNEX WOULD LIKE YOUR FEEDBACK ON THE SERVICES YOU RECEIVED. WE APPRECIATE ALL YOUR COMMENTS OR SUGGESTIONS.


Please indicate your response.
On this visit, today's date _____________I am here for:
Career Services - Counseling Services - Health Services

I became aware of these services from:
College Handbook - Other Students - Faculty/Staff
Other College Material - Self-referred

Class:FR - SO - JR - SR Gender:M - F Status:Resident - Commuter


Circle the appropriate response using the following rating:
VS=Very SatisfiedS=SatisfiedD=DissatisfiedNA=Not Applicable

1. Appointment conducive to personal comfort, allowing student to ask questions and give information. VSSDNA
2. Appointment given in a timely manner. VSSDNA
3. Helpfulness of staff. VSSDNA
4. Availability of pamphlets and information. VSSDNA
5. Explanation of information. VSSDNA
6. Duration of appointment. VSSDNA
7. Opportunity to make desired follow-up appointment. VSSDNA
8. Cleanliness and appeal of building and office. VSSDNA
9. Skill and knowledge exhibited during visit. VSSDNA
10. Overall quality of care and services. VSSDNA
11. Would you recommend service to fellow students? YES- NO

COMMENTS:_____________________________________________________

_________________________________________________________________

Optional Signature:___________________________________________________


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