1 Start 2 Complete Comments What department(s) would you like to comment on? Comments Our Staff: What is your impression of the Yale Health Staff involved today? Physician Nurse Practitioners Nurse Midwives Nursing Reception Laboratory X-ray Physical Therapy Administrative Pharmacy Do staff members seem to be interested in you as an individual? Yes No Has the health care you received met your expectations? Yes No Has there been adequate follow-up to your medical problems and /or treatments? Yes No Has your medical condition(s) and/or the treatment(s) been adequately explained to you? Yes No Was there something about your experience with Yale Health that you found particularly satisfactory? (If yes, please describe below or in comments section. Yes No Comments Was there something about your experience with Yale Health that you found unsatisfactory? (If yes, please describe below or in comment section. Yes No Comments Contact Information: We are happy to help you. Should you wish to discuss any issue in more detail, please call the Member Services Department at 203-432-0246. Would you like a response? Yes No May we use your name in discussing comment with relevant Yale Health staff members? Yes No Name E-mail Date Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20162017201820192020 Day Phone Evening Phone Yale Health ID# Member Status Gender Male Female Student Undergraduate Professional Graduate Employee Faculty Managerial & Professional Clerical & Technical Service & Maintenance Dependent Faculty Student Managerial & Professional Clerical & Technical Service & Maintenance Retiree Medicare Retiree Other Comments CAPTCHAThis question is for testing whether or not you are a human visitor and to prevent automated spam submissions.