The Conceptual Model of Nursing Health Policy (CMNHP) was used to guide this study of client satisfaction as one component of an ongoing assessment of the Essential School Health Service (ESHS) Programs conducted by the Massachusetts Department of Public Health. Random samples of parents/guardians of students who use the school nursing services were surveyed to determine the extent to which they were satisfied with school nursing services. The results indicate that parents/guardians have a high level of satisfaction with school nursing services. Mean rank satisfaction scores of parents of children with special health care needs were significantly higher then those parents of children without special health care needs. School nurses were encouraged to share the results of the study with various stakeholders in their school district. (Contains 1 table and 3 figures.)