Report - Feedback Survey

Coconino County Public Health Service District would like to receive community feedback on reports released on this site. Please take a few minutes to complete the questionnaire below to provide your feedback on how CCPHSD can improve or add information to future reports.

Question Title

* 1. Which report are you providing feedback on?

Injury-Related Morbidity and Mortality Report

Opioid Report

Suicide Report

2018 CHIP Annual Report

2017 Medical Examiner's Office Annual Report

2017 CCPHSD Annual Report

2018 CCPHSD Annual Report

Substance Abuse Report

Other (please specify)

Question Title

* 2. The report presentation (layout, design) is easy to follow?

Strongly agree

Agree

Neither agree nor disagree

Disagree

Strongly disagree

Question Title

* 3. The report's information that is presented helpful/insightful?

Strongly agree

Agree

Neither agree nor disagree

Disagree

Strongly disagree

Question Title

* 4. Was the report missing any information?

No

Yes, please specify

Question Title

* 5. Do you have suggestions for future reports?

No

Yes, please specify