Customer Satisfaction Survey

Customer Focus Satisfaction on Services I received today.

Question Title

* 1. Services received today by department.

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* 2. County CHD

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* 3. The staff was helpful, friendly, polite and well informed.

Very Satisfied

Satisfied

Dissatisfied

Very Dissatisfied

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* 4. I was served in a timely manner.

Very Satisfied

Satisfied

Dissatisfied

Very Dissatisfied

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* 5. Health Education or Information provided to me by staff was:

Appropriate/Understood

Confusing/Not Understood

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* 6. Overall quality of Satisfaction received

Very Satisfied

Satisfied

Dissatisfied

Very Dissatisfied

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* 7. If you would like for someone to call you regarding your visit, please leave your name, email or phone number.

Name

Email Address

Phone Number

Customer Satisfaction Survey

Customer Focus Satisfaction on Services I received today.

Question Title

* 1. Services received today by department.

Question Title

* 2. County CHD

Question Title

* 3. The staff was helpful, friendly, polite and well informed.

Question Title

* 4. I was served in a timely manner.

Question Title

* 5. Health Education or Information provided to me by staff was:

Question Title

* 6. Overall quality of Satisfaction received

Question Title

* 7. If you would like for someone to call you regarding your visit, please leave your name, email or phone number.

Question Title

* 8. Comments