Health Department Customer Survey

Question Title

* 1. What county do you live in?

Butts

Carroll

Coweta

Fayette

Heard

Henry

Lamar

Meriwether

Pike

Spalding

Troup

Upson

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* 2. Please select your age range.

Under 18

18-24

25-34

35-44

45-54

55-64

65+

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* 3. Please select your ethnicity.

White or Caucasian

Black or African American

Hispanic or Latino

Asian or Asian American

American Indian or Alaska Native

Native Hawaiian or other Pacific Islander

Another race

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* 4. Where do you get most of your health news and information?

Facebook

Twitter

Instagram

Web Search

Family and Friends (outside of social media)

I only trust the doctor

Other (please specify)

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* 5. When was the last time you visited the health department?

Within the last week

Within the last month

Within the last year

It's been over a year

Never

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* 6. What do you find useful or effective about your county health department?

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* 7. What improvements could be made at your county health department?

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* 8. Check all of the services offered at the health department that you have either used or heard of:

Vital Records

Environmental Health

BCCP (Breast and Cervical Screening)

Children First

Babies Can't Wait

EHDI (Early Hearing Detection and Intervention)

Children's Medical Services

Women's Wellness/Family Planning

STD Testing

Vaccines

Oral Health Prevention Program

Tuberculosis Prevention and Control Program

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* 9. Have you ever visited your county health department's website?

Yes

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* 10. Have you ever visited your county health department's Facebook page?

Yes

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* 11. Which statement(s) best reflect your feelings about the health department?

It is there for everyone

It is only there for economically disadvantaged people

The health department does not offer the services that I need

The health department does offer the services that I need, but I go somewhere else for those services

I would go to the health department for services

I would never go to the health department for services

Other (please specify)

Health Department Customer Survey

Question Title

* 1. What county do you live in?

Question Title

* 2. Please select your age range.

Question Title

* 3. Please select your ethnicity.

Question Title

* 4. Where do you get most of your health news and information?

Question Title

* 5. When was the last time you visited the health department?

Question Title

* 6. What do you find useful or effective about your county health department?

Question Title

* 7. What improvements could be made at your county health department?

Question Title

* 8. Check all of the services offered at the health department that you have either used or heard of:

Question Title

* 9. Have you ever visited your county health department's website?

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* 10. Have you ever visited your county health department's Facebook page?

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* 11. Which statement(s) best reflect your feelings about the health department?

Question Title

* 12. Is there anything else you would like us to know?