1.How did you interact with the Public Health Department

In person: I visited the Public Health Department.

In person: A Public Health employee visited me in my home or business.

In person: I interacted with a Public Health employee at a class, event, or health fair. 

Phone: I called the Public Health Department, or a Public Health employee.

Online: I visited the Public Health Department website.

Email: I emailed the Public Health Department, or a Public Health employee.

Other (please specify)

2.About which program/division would you like to provide feedback?

Administration
● Reception/Cashier
● Security
● Facility
● Accounts Payable

Clinic
● Immunizations
● Tuberculosis (TB)
● HIV Care Program

Disease Surveillance Investigation
● Reportable Diseases/Conditions
● Sexually Transmitted Infections
● Communicable Diseases
● Animal Bites

Emergency Medical Services
● EMS 
● Public Health Emergency Preparedness
● Hospital Preparedness Program
● Pandemic Influenza Program

Environmental Health - Consumer Protection Programs
● Food Safety
● Recreational Waters (public pools and spas)
● Body Art
● Abandoned Vehicle Abatement
● Substandard Housing

Environmental Health - Land Use and Water Programs
● Solid Waste
● Onsite Wastewater Treatment Systems (Septic Systems)
● Water Wells and Water Sampling
● Dairy and Poultry Facilities
● Land Use Planning

Environmental Health - CUPA and HazMat Programs
● Hazardous Waste and Materials
● Medical Waste

First 5

Nursing
● California Children’s Services Program (CCS)
● Medical Therapy Unit (MTU)
● Child Health Disability Prevention Program (CHDP)
● Health Care Program for Children (HCPCFC)
● Nurse-Family Partnership (NFP)
● Multi-Purpose Senior Services
● Older Adult System of Care
● Maternal Child and Adolescent Health
● Adolescent Family Life Program & Positive Youth Development/Young Parents Program  (AFLP & PYD/YPP)
● Car Seat Program
● Comprehensive Perinatal Services Program (CPSP)

Prevention, Policy, and Planning
● Health Education and Classes (e.g. Chronic Disease Self Management/National Diabetes Prevention Program/tobacco cessation)
● Nutrition Education (e.g. Rethink Your Drink/My Plate)
● Tobacco Prevention
● Healthy Community and Policy Development

Public Health Lab

Vital Statistics
● Birth Certificates, Death Certificates, and Burial Permits
● Medical Marijuana ID Cards

Other (please specify)

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