How are we doing?

Please write a short review of our services to let us know if we met your expectations at the Fulton County Health Department.  All answers and comments are anonymous.

Date of Service (approximate if unknown)

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* 1. Date of Service (approximate if unknown)

Date / Time
What service(s) did you receive?

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* 2. What service(s) did you receive?

What was your overall satisfaction with the service(s) you received?

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* 3. What was your overall satisfaction with the service(s) you received?

What could we have done to make your experience excellent? (Please use space below.  If your service WAS excellent, please let us know why):

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* 4. What could we have done to make your experience excellent? (Please use space below.  If your service WAS excellent, please let us know why):

Would you like to add an additional comment? 

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* 5. Would you like to add an additional comment? 

Would you like someone from the Fulton County Health Department to contact you?  If so, please add your name, email and/or phone number (will not be shared except for contacting you).

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* 6. Would you like someone from the Fulton County Health Department to contact you?  If so, please add your name, email and/or phone number (will not be shared except for contacting you).

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