Public Input SurveyPublic Input Survey

This survey is intended to find out how often county residents utilize the Edgecombe County Health Departments services and to help us improve when, how and what services we offer. We will be collecting surveys September 10-28, 2012. You do not need to put your name on this survey. Please check the box that best represents your answer.

1. The Edgecombe County Health Department is open from 8:00 AM-5:00PM. How do you feel about the hours of operations?

The Edgecombe County Health Department is open from 8:00 AM-5:00PM. How do you feel about the hours of operations? These hours are just right	Health Department should be open eariler than 8:00 AM	Health Department should close later than 5:00 PM	There should be extended hours ( after 5:00PM) at least one day a week
Other (please specify)

2. How often do you visit or utilize services provided at the Edgecombe County Health Department( this includes services/clinics such as child health, dental, adult health, maternity, family planning, environmental health, health education)?

How often do you visit or utilize services provided at the Edgecombe County Health Department( this includes services/clinics such as child health, dental, adult health, maternity, family planning, environmental health, health education)? At least once a year

At least every other year or two years

I have not used the Edgecombe County Health Department in over 3 or more years

I have never used the Edgecombe County Health Department

3. When answering the question above, if you checked that you have not used the Edgecombe County Health department in three or more years, or that you have never used the health department, please tell us why by selecting from the answers below. You may have more than one answer).

When answering the question above, if you checked that you have not used the Edgecombe County Health department in three or more years, or that you have never used the health department, please tell us why by selecting from the answers below. You may have more than one answer). I have not used the health department because I have another doctor	I have used the health department before, but I was not happy about the service I received	I have not heard good things about the health department
Other (please specify)

4. What are some things that would make you more likely to visit the Edgecombe County Health Department?

What are some things that would make you more likely to visit the Edgecombe County Health Department? Extended hours	Recieveing more information about what all the health department offers	there is nothing that would make me more likely to visit
Other (please specify)

Would you be willing to help the Edgecombe County Health Department find ways to soread the word about the services that we offer, or to improve our services? If yes please write you name and phone number:
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Thank You for completing our survey. If you have questions or suggestions, please call the Edgecombe County Health Department at 252-641-7511