2019 JCDPH Customer Satisfaction Survey Question Title * 1. Today I: Had a scheduled appointment Was a walk-in Question Title * 2. Reason for visit: Adult Health (Physical/Wellness) BCCCP/WISEWOMAN Care Coordination for Children Communicable Disease Employee Health Family Planning (Birth Control) Health Promotion and Education Immunizations Lab Services Maternity Clinic Nutrition Services Obstetrics Care Management School Health Assessments Sexually Transmitted Diseases Clinic Sports Physical Water Contract Clients WIC (Women, Infants, and Children) Other Services: Question Title * 3. Please rate us on the following: Great Good Fair Poor Wait Time Wait Time Great Wait Time Good Wait Time Fair Wait Time Poor Total Visit Time Total Visit Time Great Total Visit Time Good Total Visit Time Fair Total Visit Time Poor Friendliness of Staff Friendliness of Staff Great Friendliness of Staff Good Friendliness of Staff Fair Friendliness of Staff Poor Treated with dignity by Staff Treated with dignity by Staff Great Treated with dignity by Staff Good Treated with dignity by Staff Fair Treated with dignity by Staff Poor Treated with respect by Staff & Providers Treated with respect by Staff & Providers Great Treated with respect by Staff & Providers Good Treated with respect by Staff & Providers Fair Treated with respect by Staff & Providers Poor Privacy Privacy Great Privacy Good Privacy Fair Privacy Poor Overall Service Overall Service Great Overall Service Good Overall Service Fair Overall Service Poor Question Title * 4. At your visit today, did you get all of your questions answered? Yes Somewhat No Question Title * 5. Did Health Department staff explain things in a way that was easy for you to understand? Yes Somewhat No Question Title * 6. The Health Department is open Monday-Friday, 8AM-5PM. Are these hours of operation sufficient to meet your needs? Yes No Question Title * 7. If no, please check the hours that would meet your needs. Check all that apply. Early morning hours Extended evening hours Other (please specify) Question Title * 8. Would you like to share any other information with us? Done