What was the main service you received from us?

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* 1. What was the main service you received from us?

I was treated with courtesy and respect by the staff who helped me today.

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* 2. I was treated with courtesy and respect by the staff who helped me today.

I felt the quality of service was excellent.

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* 3. I felt the quality of service was excellent.

Services were completed in a timely and efficient manner.

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* 4. Services were completed in a timely and efficient manner.

I would recommend services to others.

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* 5. I would recommend services to others.

I learned of this service from...

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* 6. I learned of this service from...

This was the first time I received services from the Auglaize County Health Department.

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* 7. This was the first time I received services from the Auglaize County Health Department.

Date of Service and Name of Person Assisting me Today:

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* 8. Date of Service and Name of Person Assisting me Today:

Comments:

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* 9. Comments:

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