Caught In the Act - Customer Satisfaction Survey Please tell us about your experience with the health department. OK Question Title * 1. Let us know who you are. Customer Employee OK Question Title * 2. Who are you letting us know about? Name * County/Location * Date of Service OK Question Title * 3. Please tell us about your experience. OK Question Title * 4. Overall, how satisfied or dissatisfied are you with the service you received? Very dissatisfied Somewhat dissatisfied Neither satisfied nor dissatisfied Somewhat satisfied Very satisfied OK Question Title * 5. How likely is it that you would recommend this company to a friend or colleague? NOT AT ALL LIKELY EXTREMELY LIKELY 0 1 2 3 4 5 6 7 8 9 10 0 1 2 3 4 5 6 7 8 9 10 OK DONE