Customer Satisfaction

Thank you for choosing Kenton-Hardin Health Department. Please tell us how we can better serve you. The responses you provide will be confidential.

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* 1. Please provide the date you received service(s)

Date

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* 2. During your visit what program(s)/service(s) did you receive? check all that apply

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* 3. Where did you learn about our services?

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* 4. Where did you receive your service(s)?

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* 5. Please respond to each of the following questions by checking 'yes' or 'no'

  Yes No
I used the phone system to make an appointment (checked "No" skip to question 6)
Was the phone system easy to use?
Were staff courteous on the phone?

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* 6. Indicate which best describes how you feel (1-5)

  Strongly Disagree (1) Disagree (2) Neither Agree nor Disagree (3) Agree (4) Strongly Agree (5)
The office hours met my needs
There was adequate parking
Staff were friendly
The wait time was appropriate

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* 7. Indicate which best describes how you feel (1-5)

  Strongly Disagree (1) Disagree (2) Neither (3) Agree (4) Strongly Agree (5)
I understood the information I was given
I was given privacy when financial/medical information was discussed
I would recommend the Kenton-Hardin Health Department to friends/family
Overall, I am satisfied with the service(s) I received

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* 8. Was the facility clean?

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* 9. What can we improve?

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* 10. What did we do well during your visit?

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