Clay County Community Input Survey Question Title * 1. Are you familiar with the services the Health Department provides? Yes No OK Question Title * 2. Have you ever received any services from the Health Department? Yes No OK 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 Communicable Diseases Environmental Health 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) OK Question Title * 4. Are there any additional services that the Health Department could offer to better meet the needs of our community? OK 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 No OK 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) OK 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 No OK 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) OK Question Title * 9. Additional comments. OK DONE