Patient satisfaction is regarded as a health outcome goal and an indicator of care quality; however, sociological factors can influence patients irrespective of service quality, potentially disconnecting the medical encounter from the report of satisfaction. This study considered the poor long-term reputation of Boettcher Health Center at Colorado College as an opportunity for: 1) quantifying quality ratings and satisfaction levels, 2) insight into the clinic's reputation, and 3) suggestions for aligning quality, satisfaction and reputation. An online survey of 700 students found that overall quality ratings were above average for all services and satisfaction levels were above 50 percent for all healthcare goals, while respondents' written responses were mostly negative. Statistical analyses revealed significant effects of race, income, insurance type and parental involvement upon quality ratings and satisfaction. This study has implications for understanding liberal arts college students as a unique patient demographic which may be suspicious of healthcare services due to the likelihood of having been raised in an upper-class family.