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* 1. Do you currently use your local health department services?

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* 2. If no, why not?

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* 3. If yes, which services do you use?

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* 4. How often do you visit your local health department?

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* 5. When you visit your local health department which location do you usually use?

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* 6. Hours of operation for the health department are Monday through Friday 8am to 4:30pm.  Do these hours seem convenient for you and your family?

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* 7. If no, what hours are better for you?

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* 8. Please indicate additional services you would use if they were available at your local health department:

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* 9. We welcome any other comments you can add that help us improve our services:

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