Location:  (Circle One)    Mountain View                 JMHS                    Peterstown

                     Faculty/Staff Satisfaction Survey     

We would like to know how you feel about the services provided so we can make sure we are meeting your needs.  Your responses will be used to improve our services. Responses are kept confidential and anonymous. Thank you for your time. 

Please circle or mark the appropriate box to tell us how you think we are doing in the following areas 
	A Great Deal	Somewhat	Very Little	Not at All	Not Sure	
1. How much are students helped by the Wellness Center?  						
2. How often do students ask to leave your class to visit the WC?  						
3.  Do you feel it is disruptive when a student leaves or returns from a visit to the Wellness Center?						
4.  How much influence does the WC have on reducing absenteeism?						
5. Improving school performance?						
6. Reducing substance abuse (tobacco, alcohol, drugs)?						
7. Reducing sexual involvement/unwanted pregnancies?						
8.  Improving access to health care?						
9.  Improving health status?						

	Excellent	Good	Fair	Poor	Don’t know	
10.  How well is communication of the WC staff with parents?						
11.  How well is communication of the WC staff with students?  						
12.  How well is communication of the WC staff with school personnel?						
13.  How good is the convenience of the location within the school?  						
14.  How would you rate the quality of care at the Wellness Center?  						
     
15. Have you ever sought health care services for yourself at the Wellness Center?          Yes          No                                         and were you satisfied with the services provided?          Yes         No
16.  Is there anything you would change about the Wellness Center?  _________________________________________
17.  Are there any additional services you would like the Wellness Center to provide?  ___________________________ 
18.  If you have any additional comments, please enter them below:  
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Thank you for completing our survey!!!

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