DHHS-Department of Health, Licensure Unit - Office of Rehabilitation and Community Services

1. Customer Feedback Survey for Online Services

The Department of Health and Human Services Division of Public Health hopes that your experience with the Licensure Unit was positive and requests your help in assuring that we offer the best customer service possible. Please take a few minutes to complete this survey.

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* 1. What was the profession you received your license/certificate or renewal for?


Profession Inquiring About:	Profession Inquiring About: menu

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* 2. What service were you requesting?


Service Inquiring About	Service Inquiring About menu

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* 3. Was the information provided easy to understand and complete?

Yes

N/A

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* 4. If you received a request from us to provide additional information, was the request clear?

Yes

N/A

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* 5. Was the information on the credential document you received correct?

Yes

N/A

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* 6. How would you rate the overall service provided by our staff?

	Excellent	Good	Fair	Poor
Knowledgeable	Knowledgeable Excellent	Knowledgeable Good	Knowledgeable Fair	Knowledgeable Poor
Professional	Professional Excellent	Professional Good	Professional Fair	Professional Poor
Courteous	Courteous Excellent	Courteous Good	Courteous Fair	Courteous Poor
Efficient	Efficient Excellent	Efficient Good	Efficient Fair	Efficient Poor

Question Title

* 1. What was the profession you received your license/certificate or renewal for?

Question Title

* 2. What service were you requesting?

Question Title

* 3. Was the information provided easy to understand and complete?

Question Title

* 4. If you received a request from us to provide additional information, was the request clear?

Question Title

* 5. Was the information on the credential document you received correct?

Question Title

* 6. How would you rate the overall service provided by our staff?

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* 7. Do you have any comments or suggestions for improving our service?