April 2018 Customer Satisfaction Survey Question Title * 1. Are you a: New Client Returning Client Question Title * 2. During today's visit what program(s) and/or service(s) did you receive? Women, Infants and Children WIC Immunizations Children's Special Healthcare Services (CSHCS) Maternal Infant Health Program (MIHP) Family Planning Services Breast and Cervical Cancer Control Program (BCCCP) Environmental Health (wells, septic, food licenses) Other Question Title * 3. Where did you learn about our available services? From a friend or family member Existing Health Department Client From a Health Department brochure or flyer From the HCHD website From School Newspaper/radio Billboard Ad Placement Ad Facebook Other Other (please specify) Question Title * 4. Was the phone system easy to use? Yes No NA Question Title * 5. Did the staff answer the phone promptly? Yes No NA Question Title * 6. Was the staff courteous on the phone? Yes No NA Question Title * 7. Was the staff professional in appearance? Yes No NA Question Title * 8. Did you feel our lobby provided adequate privacy for your visit? Yes No NA Question Title * 9. Did you know which registration desk to go to for your appointment? Yes No NA Question Title * 10. Health Department staff was friendly? Yes No Question Title * 11. The service(s) I received were delivered promptly. (Less than 15 min. after check-in) Yes No Question Title * 12. Health Department Staff was respectful. Yes No Question Title * 13. Health Department staff took the time to listen to my concerns today? Yes No Question Title * 14. Overall, I am satisfied with the service(s) I received today? Yes No Question Title * 15. I was able to get what I needed from the HCHD today? Yes No Question Title * 16. If you answered 'No' to any of the above questions, please comment why you answered that way, and any suggestions you may have. Question Title * 17. Did Health Department Staff give you information during today's visit about other services for which you might be eligible? Yes No Question Title * 18. Do our office hours meet your needs? Yes No If No, what hours would better meet your needs? Question Title * 19. Have you visited our website: www.hchd.us? Yes No If YES, did you find it user friendly? What did you visit our website for? Question Title * 20. Have you visited our Huron County Health Department Facebook page? Yes No Question Title * 21. If YES, did you LIKE us on Facebook? Yes No Question Title * 22. What is the age of the person receiving services today? Less than 5 years 5 to 10 years 11 to 15 years 16 to 20 years 21 to 30 years 31 to 40 years 41 to 50 years 51 to 60 years 61 to 70 years more than 70 years old Question Title * 23. Would you recommend the HCHD to your family and friends? Yes No Done