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Student Health Center

Student Feedback "Tell Us About Us"

We invite you to share with us your thoughts/feelings regarding your experience here at the Health Center. Your comments will receive the attention of the Health Center's administration. This information is confidential and will not become part of your medical record. You can submit your input online by completing the form below, OR you can download the form, complete it and drop it off at the Health Center or mail it to us at:

California State University, Sacramento
Student Health Center
6000 J Street
Sacramento, CA 95819-6045

Note: Information sent from this page are encrypted using SSL (Secure Socket Layer) technology. All personal information is encrypted for protection and sent to us via the secure server for processing. All fields with * are required.

*How would you rate your over-all experience at the Health Center?

 Excellent Good Pair Poor

What specific services did you receive?

 Health Education Medical Lab X-Ray Pharmacy
Other (Please specify)

*Was your experience

 Positive Negative, please describe:

What suggestions do you have to improve services/care?

*Date of Visit

  (mm/dd/yyyy) Click here for calendar

Time of Visit:

*Please give us your e-mail address so we can respond to you:

OPTIONAL INFORMATION

We'd like to respond to your comments. In order for us to respond, the following information would be of assistance:

First Name:

 Last Name:

Address (Street, City, State, Zip)