Randolph County Public Health
Community Opinion Survey

Question Title

* 1. Within the last year, which services have you used? (Check all that apply)

Animal Control / Animal Shelter

Child Health (Child care nurse consultant or Care Coordination for Children)

Communicable Disease (STD testing, TB screening, shots)

Dental Health

Environmental Health (permitting of restaurants, pools, hotels, wells, wastewater, septic systems, etc.)

Health Education

Pregnancy Care Management (PCM)

Pregnancy test

Public Health Preparedness (response to public health disasters, weather emergencies)

Safe Kids (car seats, bike helmets, etc.)

WIC, Nutrition and Breastfeeding

Vital Records (birth and death certificate registration)

Other (please specify)

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* 2. Were you satisfied with your experience?

Yes

If no, could you tell us why?

Other (please specify)

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* 3. Are there services listed in question #1 that you did not know were offered through the health department?

Yes

If yes, please tell us what service(s) you were not aware of.

Other (please specify)

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* 4. The health department main office is open Monday-Friday 8am-5pm. What other hours of operation would be convenient for you?

7-9:00 a.m.

8:00 a.m.-12:00 p.m.

1-5:00 p.m.

4-6:00 p.m.

6-8:00 p.m.

Other (please specify)

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* 5. Did you know that the health department services are available to ALL Randolph County residents?

Yes

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* 6. Are there any services that you would like to see offered by the health department in the future?

Yes

If yes, please list which service in the space below.

Other (please specify)

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* 7. Did you know that the health department sponsors a seasonal farmers market?

Yes

If yes, have you visited our market? Please put response in space below.

Other (please specify)

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* 8. Do you come to the health department for your shots?

Yes

No, I go to my doctor for my shots

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* 9. Do you bring your child/children to the health department for their shots?

Yes

No, I take them to their doctor for shots

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* 10. If your doctor does not provide shots for you and your family, would you come to the health department to get them?

Yes

If you answered no, please tell us why

Other (please specify)

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* 11. Do you have one of more of the following (check all that apply)

Health insurance

Medicaid

Medicare

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* 12. If your health insurance is not one that the health department can file, would you be willing to pay out of pocket, up front and file your own insurance claim for repayment?

Yes