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Environmental Health - Client Satisfaction Survey
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Date of Service
MM
DD
YYYY
Date
Date of Service Date Month
/
Day
/
Year
*
Inspector's Name:
Inspector's Name:
Alfred Holmes
Kenn Lightfoot
Other (please specify)
1. Did the inspector explain the violation(s) or contamination issue to you or provide information in a manner which was understandable and informative?
1. Did the inspector explain the violation(s) or contamination issue to you or provide information in a manner which was understandable and informative?
Yes
No
Comments
2. Did the inspector explain the public health significance of any violation or contamination?
2. Did the inspector explain the public health significance of any violation or contamination?
Yes
No
Comments
3. Was the inspector courteous and respectful during the inspection?
3. Was the inspector courteous and respectful during the inspection?
Yes
No
Comments
4. Did this particular inspector treat you with fairness and honesty?
4. Did this particular inspector treat you with fairness and honesty?
Yes
No
Comments
5. Has the inspector met your expectations of technical competence?
5. Has the inspector met your expectations of technical competence?
Yes
No
Comments
6. Do you have any comments, suggestions, recommendations or criticisms regarding any policy or proceedure of the Department of Health?
6. Do you have any comments, suggestions, recommendations or criticisms regarding any policy or proceedure of the Department of Health?
Yes
No
Comments
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