The Claremont Colleges
Student Health Service		 j0281140.wmf (51100 bytes)

This survey is for students who choose not to use the Student Health Service.
It is important to us to have your input so we can make our services more compatible with all our students' needs.

Please check ALL the reasons why you have not used the Student Health Service.

       I'm very healthy and have not needed the services at the Student Health Service.   

        I have another health care provider/physician in the area.

        I have concerns about the cost of services at the Student Health Service.

        I have concerns about the quality of care at the Student Health Service.   

        I have concerns about confidentiality/privacy at the Student Health Service.

        I have concerns about the cultural sensitivity at the Student Health Service.

        I know that my insurance does not cover services delivered at the Student Health Service.   

       The location of the Student Health Service is not convenient for me.

       Other/Please comment                   

Services you would like to see at the Student Health Service

Comments

Thank you for taking the time to fill out the survey!