* 1. How likely is it that you would recommend Auglaize County health Department to a friend or colleague?

NOT AT ALL LIKELY
EXTREMELY LIKELY

* 2. Overall, how satisfied or dissatisfied are you with services?

* 3. Which of the following words would you use to describe our services? Select all that apply.

* 4. How well do our services meet your needs?

* 5. How responsive have we been to your questions or concerns about our services?

* 6. How long have you been a customer/client of the Auglaize County Health Department?

* 7. What was the main service received from us today?

* 8. Do you have any other comments, questions, or concerns?

T