MCPH Customer Survey

1.Date of Service:

Date

SuSunday

MoMonday

TuTuesday

WeWednesday

ThThursday

FrFriday

SaSaturday

2.What is your zip code?

5.I was treated with courtesy and respect by the staff who helped me today?

7.Services and information were received in a timely and efficient manner?

10.Gender

If you prefer to self-describe, please enter here:

14.Additional Comments, Questions, Concerns (What can we do to make your experience better?):

Current Progress,

0 of 14 answered