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* 1. Are you  familiar with the services the Health Department provides?

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* 2. Have you ever received any services from the Health Department?

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* 3. Which of the following Health Department services meet the needs of our community?

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* 4. Are there any additional services that the Health Department could offer to better meet the needs of our community?

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* 5. The Health Department is open Monday-Friday from 7:45 am - 4:45 pm. Are these hours of operation sufficient to meet the needs of our community?

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* 6. If no, please check the hours that would meet your needs. Check all that apply.

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* 7. Additional comments.

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