The following statements relate to the services you receive from your public health nurse.

All responses will be kept confidential and will not be viewed individually by Juneau County Health Department or your public health nurse. Please provide your honest feedback as we would like to use this information to serve you in the best way possible.

Question Title

* 1. My nurse was friendly during my visit.

Question Title

* 2. My nurse was helpful during my visit.

Question Title

* 3. My nurse treated me with respect during my visit.

Question Title

* 4. My nurse took the time to listen to my concerns.

Question Title

* 5. My nurse helped me feel relaxed or at ease during my visit.

Question Title

* 6. My nurse used words that I could understand.

Question Title

* 7. Printed materials that I received were easy to read and understand.

Question Title

* 8. The services my nurse provided met my needs. (this includes social, cultural, and/or special needs)

Question Title

* 9. I felt my privacy was protected by my nurse and Health Department staff.

Question Title

* 10. Visits were provided in a timely manner.

Question Title

* 11. Our main office is open Monday-Friday 8:00am-4:30pm for visits with your nurse. Do these hours meet your needs.

Question Title

* 12. If you marked no to question #11, which of the following hours would better meet your needs?

Question Title

* 13. I would recommend the Juneau County Health Department to my friends and family.

Question Title

* 14. Overall I am satisfied with the services I received from my nurse at the Health Department.

Question Title

* 15. What did we do well during your most recent visit?

Question Title

* 16. What, if anything, did you feel was negative about your visit that we could improve on? 

Question Title

* 17. Did the Juneau County Health Department staff offer you information during your most recent visit about other services you might need?

Question Title

* 18. I am likely to return to the Juneau County Health Department for services.

Question Title

* 19. How do your prefer to receive information?

Question Title

* 20. How did you hear about our services?

Question Title

* 21. What is your gender?

Question Title

* 22. What is your race? (Choose all the apply)

Question Title

* 23. What is your current age?

Question Title

* 24. How many children under the age of 18 live in your household?

Thank you for your valuable input. If you have any questions regarding this survey, please contact the Juneau County Health Department at 608-847-9373.

T