Comment Card Comment 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? - None -YesNo Has the health care you received met your expectations? - None -YesNo Has there been adequate follow-up to your medical problems and /or treatments? - None -YesNo Has your medical condition(s) and/or the treatment(s) been adequately explained to you? - None -YesNo Was there something about your experience with Yale Health that you found particularly satisfactory? - None -YesNo If yes, please describe below or in the comments section. Comments Was there something about your experience with Yale Health that you found unsatisfactory? - None -YesNo If yes, please describe below or in the comment section. 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? - None -YesNo May we use your name in discussing comment with relevant Yale Health staff members? - None -YesNo Name E-mail Date Day Phone Evening Phone Yale Health ID# Member Status 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