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Putnam County Health Department's Customer Satisfaction Survey

Welcome to PCHD's Customer Satisfaction Survey! It is our goal to provide an excellent experience to the residents of Putnam County and all who seek our services.  Your feedback will help us to improve our service to you.  Your answers are anonymous.
1.Date of Service(Required.)
Date / Time
  • 1900
  • 1901
  • 1902
  • 1903
  • 1904
  • 1905
  • 1906
  • 1907
  • 1908
  • 1909
  • 1910
  • 1911
  • 1912
  • 1913
  • 1914
  • 1915
  • 1916
SuSunday
MoMonday
TuTuesday
WeWednesday
ThThursday
FrFriday
SaSaturday
2.The main service I received was:(Required.)
3.Please rate your experience:(Required.)
Excellent
Very Good
Acceptable
Needs Improvement
Poor
Not Applicable
Staff Courtesy and Respect
Staff Knowledge & Information Provided
Quality of Service
Timely Communication
4.If you noted (Needs Improvement OR Poor) above, how can we improve our services.
5.Is there a staff member that you would like to recognize for excellent service? If so, please provide a name if you know it.
6.What else would you like to share regarding your experience.
Thank you for completing this survey!