Fulton County Health Department Satisfaction Survey

How are we doing?

Please write a short review of our services to let us know if we met your expectations at the Fulton County Health Department. All answers and comments are anonymous.

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* 1. Date of Service (approximate if unknown)

Date / Time

Date

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* 2. What service(s) did we provide

Birth/Death Certificate

Immunizations

Reproductive Health & Wellness

Prenatal Care

Breast & Cervical Cancer Project (BCCP)

Women, Infants & Children (WIC)

Support for Families ( CMH-The Child with Medical Handicaps Program, assistance in applying for Medicaid)

Health Education Services (community & school based programs, BTIO, RoX, MyPlate, HC3, YAC)

Environmental Services (inspections, investigations, certification, collection)

Car Seat Education, Inspection, Installation

Other (please specify)

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* 3. Would you recommend us to family and friends?

Yes

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* 4. What could we have done to improve your visit?

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* 5. Is there a particular staff member that you would like to mention?

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* 6. Would you like someone from the Fulton County Health Department to contact you? If so, please add your name, email and/or phone number (will not be shared except for contacting you).