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2025 Customer Feedback Survey
1.
When did you last visit the Holmes County General Health District?
Date / Time
Date
January
February
March
April
May
June
July
August
September
October
November
December
1900
1901
1902
1903
1904
1905
1906
1907
1908
1909
1910
1911
1912
1913
1914
1915
1916
Su
Sunday
Mo
Monday
Tu
Tuesday
We
Wednesday
Th
Thursday
Fr
Friday
Sa
Saturday
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Hour
Time
:
Minutes
AM/PM
-
AM
PM
2.
What type of interaction did you have with the Holmes County General Health District?
At the Health District's Office
At a facility or point of inspection
A community event
Phone/email correspondence
Website or Facebook
Clinic
Home visit
Other (please specify)
3.
What service or program did you utilize?
Immunizations
Help Me Grow
WIC/breastfeeding support
Environmental Health/Inspection
Emergency Preparedness
Falls Prevention
Vital Statistics (birth certificates/death certificates)
Educational Class (tobacco, car seat installation, safe sleep, etc)
CMH
Other (please specify)
4.
What was your overall satisfaction with the service you received?
Excellent
Above Average
Average
Fair
Poor
5.
Based on your service experience with the Holmes County Health District, please rate your level of agreement with the following statements:
Strongly Disagree
Disagree
Agree
Strongly Agree
N/A
The staff was polite and friendly
Strongly Disagree
Disagree
Agree
Strongly Agree
N/A
The information I received was clear and understandable
Strongly Disagree
Disagree
Agree
Strongly Agree
N/A
I trust the Holmes County Health District
Strongly Disagree
Disagree
Agree
Strongly Agree
N/A
I understand the value of the Holmes County Health District and its services
Strongly Disagree
Disagree
Agree
Strongly Agree
N/A
The HCGHD does a good job educating people about health issues
Strongly Disagree
Disagree
Agree
Strongly Agree
N/A
The HCGHD does a good job communicating with the public to promote its programs and services
Strongly Disagree
Disagree
Agree
Strongly Agree
N/A
The HCGHD understands the community and its needs
Strongly Disagree
Disagree
Agree
Strongly Agree
N/A
6.
If you disagreed or strongly disagreed with any of the statements above, please explain why.
7.
Do you have any feedback on how we can serve you better?
8.
Was there someone at the health department who provided you with excellent service?
9.
Please provide any other comments or feedback about your experience.