Clay County Community Input Survey

Question Title

* 1. Are you familiar with the services the Health Department provides?

Yes

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* 2. Have you ever received any services from the Health Department?

Yes

Question Title

* 3. Which of the following Health Department services meet the needs of our community?

Adult Health (physical/wellness)

BCCCP

Care Coordination for Children

Car Seats

Care Coordination for High Risk Pregnancy

Communicable Diseases

Environmental Health

Dental Clinic

Family Planning

Food/Lodging Inspection

Health Promotion and Education

Immunization

Laboratory Services

Nutrition Services

Pregnancy Care Management

Septic Care Management

Sexually Transmitted Diseases Clinic

Well/Water Permits

Well/ Water Sampling

WIC (Women, Infants, and Children)

Other (please specify)

Question Title

* 4. Are there any additional services that the Health Department could offer to better meet the needs of our community?

Question Title

* 5. The Health Department is open Monday-Friday from 8:00 am - 5:00 pm. Are these hours of operation sufficient to meet the needs of our community?

Yes

Question Title

* 6. 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

* 7. The Health Department Dental Clinic is open Monday-Thursday from 7:30-6:00 pm. Are these hours of operation sufficient to meet the needs of our community?

Yes

Question Title

* 8. If no, please check the hours that would meet your needs. Check all that apply.

Early morning hours

Extended evening hours

Other (please specify)

Clay County Community Input Survey

Question Title

* 1. Are you familiar with the services the Health Department provides?

Question Title

* 2. Have you ever received any services from the Health Department?

Question Title

* 3. Which of the following Health Department services meet the needs of our community?

Question Title

* 4. Are there any additional services that the Health Department could offer to better meet the needs of our community?

Question Title

* 5. The Health Department is open Monday-Friday from 8:00 am - 5:00 pm. Are these hours of operation sufficient to meet the needs of our community?

Question Title

* 6. If no, please check the hours that would meet your needs. Check all that apply.

Question Title

* 7. The Health Department Dental Clinic is open Monday-Thursday from 7:30-6:00 pm. Are these hours of operation sufficient to meet the needs of our community?

Question Title

* 8. If no, please check the hours that would meet your needs. Check all that apply.

Question Title

* 9. Additional comments.