Health and Wellness Center Feedback Form

Your feedback, compliments, and/or complaints are important to us and helps us to maintain and improve the care and services we provide at the Health and Wellness Center. Please be as specific as possible when completing the following form. Your comments will be confidential and anonymous if you choose and will not be a part of your health record. Thank you!

Please check all that apply
5 + 7 =
Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.