Pike County Environmental Health Customer Service District 4 Public Health's Mission To protect and improve the health of our communities through the prevention of disease, the promotion of healthy behaviors, access to quality services, strong community partnerships, and disaster preparedness. OK Question Title * 1. In what county was Environmental Health's services requested? Butts Carroll Coweta Fayette Heard Henry Lamar Meriwether Pike Spalding Troup Upson OK Question Title * 2. What program area was your service for? Food Hotel/RV Park/ B&B Public Swimming Pools Sewage Wells Tattoo/Body Art Rabies Lead Healthy Homes Chemical Hazards Mosquito Surveillance Other (please specify) OK Question Title * 3. What best Describes you? Facility Owner Facility Employee Developer/Builder Installer/Pumper Homeowner Patron/Customer/Client Well Driller Government Official Other (please specify) OK Question Title * 4. Did you have an appointment with an Environmental Health Specialist? If you did not have an appointment please skip to question 6. Yes No OK Question Title * 5. If you had an appointment, what best describes the Environmental Health Specialists punctuality? Late and did not call to inform late and called at the last minute or past appointment time late but called to inform On time Early OK Question Title * 6. Was the Environmental Health Specialist helpful with regards to your request or complaint? Unhelpful Somewhat Unhelpful Neither Helpful or Unhelpful Somewhat Helpful Helpful If you can, please briefly explain why they were helpful or unhelpful. OK Question Title * 7. Was the Environmental Health Specialist knowledgeable about the topic area in regards to your request or complaint? Unknowledgeable Somewhat Unknowledgeable Neither Knowledgeable or Unknowledgeable Somewhat Knowledgeable or Unknowledgeable Knowledgeable If you can, please briefly explain why they were knowledgeable or unknowledgeable. OK Question Title * 8. Was the Environmental Health Specialist professional at all times and presented with ID badge? Yes No If no, please explain how they were unprofessional. OK Question Title * 9. Did you encounter front office staff? Yes No If yes, were they knowledgeable and helpful with respect to the Environmental Health Service you requested? OK Question Title * 10. How would you rate the overall service you received? Awful Bad Expected Good Great OK Question Title * 11. Do you have any additional comments and/or suggestions that we could improve delivery of our services? OK Question Title * 12. If there is an urgent matter, please don’t hesitate to call the county environmental health office to speak with the county environmental health manager. Pike County Environmental Health Manager: Ben Trotter: 770.567.8972 Ext. #204 If you would like to be contacted by our office at a later time, please provide the following information: Name: City/Town: State/Province: Email Address: Phone Number: OK DONE