Question
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Strongly agree
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Agree
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Disagree
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Strongly disagree
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Not Applicable
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I was treated with respect.
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The nurse was knowledgeable.
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My questions and concerns were addressed in a timely manner.
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The nurse provided useful referrals and resources.
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The nurse taught me new things to do at home for my health.
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The services I needed were provided.
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Why did you go to the clinic?
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How can we improve our services?
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What are we doing well?
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General comments:
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Tell us about yourself. Complete all that apply.
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Male – Yes or No
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Female – Yes or No
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Age
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Student – Yes or No
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Faculty/staff – Yes or No
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Ethnicity/Race
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What year student are you?
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