City of Middletown Ohio Public Health Department 

We appreciate your feedback on your experience with our Health Department and/or Environmental Services. 

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* 1. Overall, how would you rate the quality of your customer service experience?

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* 2. How likely is it that you would recommend Health Department to a friend or colleague?

NOT AT ALL LIKELY
EXTREMELY LIKELY

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* 3. Are our hours of operation sufficient to meet your needs?

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* 4. The wait time for service was reasonable.

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* 5. The staff was friendly and courteous.

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* 6. What type of service did you receive today?

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* 7. Date of service.

Date / Time

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* 8. Please leave your contact information if you would like to discuss your experience.

T