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This form will be used to improve Occupational Health processes to serve our patients better. Please feel free to reach out to occupational.health@cuanschutz.edu if you have any questions or concerns about this survey.
How satisfied are you with your Occupational Health experience so far?
Extremely dissatisfied
Somewhat dissatisfied
Neither satisfied nor dissatisfied
Somewhat satisfied
Extremely satisfied
Use this space to elaborate on your answer to the previous question.
Do you feel you understand the overall purpose of Occupational Health requirements?
Yes
No
Not sure
Use this space to elaborate on your answer to the previous question.
How do you agree with the following statements?
How do you agree with the following statements?
Strongly disagree
Disagree
Neutral
Agree
Strongly agree
The process to enroll with Occupational Health was easy.
Strongly disagree
Disagree
Neutral
Agree
Strongly agree
The Occupational Health team communicated promptly and effectively with me (via email and phone).
Strongly disagree
Disagree
Neutral
Agree
Strongly agree
The process to schedule an appointment with the Occupational Health clinic was easy.
Strongly disagree
Disagree
Neutral
Agree
Strongly agree
The hours of the Occupational Health clinic work for my schedule.
Strongly disagree
Disagree
Neutral
Agree
Strongly agree
The forms I needed to fill out for Occupational Health were easy to access and complete (Annual Medical Surveillance, Appointment Form etc.).
Strongly disagree
Disagree
Neutral
Agree
Strongly agree
All of my needs and questions were addressed at my appointment.
Strongly disagree
Disagree
Neutral
Agree
Strongly agree
I was seen within 15 minutes of my scheduled appointment time.
Strongly disagree
Disagree
Neutral
Agree
Strongly agree
The clinic staff were welcoming and accommodating.
Strongly disagree
Disagree
Neutral
Agree
Strongly agree
How relevant and informative were the educational materials provided by Occupational Health?
Extremely effective
Very effective
Moderately effective
Slightly effective
Not effective at all
Please provide any feedback you have on the Occupational Health education materials. How do you prefer to receive education from the Occupational Health team?
Our current process for Annual Medical Surveillance due date reminders is as follows: two emails sent from EHSAssistant@cuanschutz.edu, one final email reminder sent from Occupational.Health@cuanschutz.edu. How effective is this process in reminding you to submit your Annual Medical Surveillance form on time?
Extremely effective
Very effective
Moderately effective
Slightly effective
Not effective at all
Not applicable
Please provide any suggestions on improving our Annual Medical Surveillance due date reminder process (detailed in the previous question).
If you would like to share any additional comments about your most recent interaction with EHS Occupational Health, please do so below.
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