Effingham County Health Department Customer Satisfaction Survey

	NOT APPLICABLE	Strongly disagree	Disagree	Neutral	Agree	Strongly Agree
Staff greeted my courteously upon arrival	Staff greeted my courteously upon arrival NOT APPLICABLE	Staff greeted my courteously upon arrival Strongly disagree	Staff greeted my courteously upon arrival Disagree	Staff greeted my courteously upon arrival Neutral	Staff greeted my courteously upon arrival Agree	Staff greeted my courteously upon arrival Strongly Agree
Wait time was acceptable	Wait time was acceptable NOT APPLICABLE	Wait time was acceptable Strongly disagree	Wait time was acceptable Disagree	Wait time was acceptable Neutral	Wait time was acceptable Agree	Wait time was acceptable Strongly Agree
The health department hours were convenient for me	The health department hours were convenient for me NOT APPLICABLE	The health department hours were convenient for me Strongly disagree	The health department hours were convenient for me Disagree	The health department hours were convenient for me Neutral	The health department hours were convenient for me Agree	The health department hours were convenient for me Strongly Agree
Staff took time to explain things to me and answered my questions	Staff took time to explain things to me and answered my questions NOT APPLICABLE	Staff took time to explain things to me and answered my questions Strongly disagree	Staff took time to explain things to me and answered my questions Disagree	Staff took time to explain things to me and answered my questions Neutral	Staff took time to explain things to me and answered my questions Agree	Staff took time to explain things to me and answered my questions Strongly Agree
Staff were accepting of my culture, family values and customs	Staff were accepting of my culture, family values and customs NOT APPLICABLE	Staff were accepting of my culture, family values and customs Strongly disagree	Staff were accepting of my culture, family values and customs Disagree	Staff were accepting of my culture, family values and customs Neutral	Staff were accepting of my culture, family values and customs Agree	Staff were accepting of my culture, family values and customs Strongly Agree
The cost for services was reasonable	The cost for services was reasonable NOT APPLICABLE	The cost for services was reasonable Strongly disagree	The cost for services was reasonable Disagree	The cost for services was reasonable Neutral	The cost for services was reasonable Agree	The cost for services was reasonable Strongly Agree
Over the phone, staff addressed my questions courteously	Over the phone, staff addressed my questions courteously NOT APPLICABLE	Over the phone, staff addressed my questions courteously Strongly disagree	Over the phone, staff addressed my questions courteously Disagree	Over the phone, staff addressed my questions courteously Neutral	Over the phone, staff addressed my questions courteously Agree	Over the phone, staff addressed my questions courteously Strongly Agree

NOT APPLICABLE

Strongly disagree

Disagree

Neutral

Agree

Strongly Agree

Staff greeted my courteously upon arrival

Staff greeted my courteously upon arrival NOT APPLICABLE

Staff greeted my courteously upon arrival Strongly disagree

Staff greeted my courteously upon arrival Disagree

Staff greeted my courteously upon arrival Neutral

Staff greeted my courteously upon arrival Agree

Staff greeted my courteously upon arrival Strongly Agree

Wait time was acceptable

Wait time was acceptable NOT APPLICABLE

Wait time was acceptable Strongly disagree

Wait time was acceptable Disagree

Wait time was acceptable Neutral

Wait time was acceptable Agree

Wait time was acceptable Strongly Agree

The health department hours were convenient for me

The health department hours were convenient for me NOT APPLICABLE

The health department hours were convenient for me Strongly disagree

The health department hours were convenient for me Disagree

The health department hours were convenient for me Neutral

The health department hours were convenient for me Agree

The health department hours were convenient for me Strongly Agree

Staff took time to explain things to me and answered my questions

Staff took time to explain things to me and answered my questions NOT APPLICABLE

Staff took time to explain things to me and answered my questions Strongly disagree

Staff took time to explain things to me and answered my questions Disagree

Staff took time to explain things to me and answered my questions Neutral

Staff took time to explain things to me and answered my questions Agree

Staff took time to explain things to me and answered my questions Strongly Agree

Staff were accepting of my culture, family values and customs

Staff were accepting of my culture, family values and customs NOT APPLICABLE

Staff were accepting of my culture, family values and customs Strongly disagree

Staff were accepting of my culture, family values and customs Disagree

Staff were accepting of my culture, family values and customs Neutral

Staff were accepting of my culture, family values and customs Agree

Staff were accepting of my culture, family values and customs Strongly Agree

The cost for services was reasonable

The cost for services was reasonable NOT APPLICABLE

The cost for services was reasonable Strongly disagree

The cost for services was reasonable Disagree

The cost for services was reasonable Neutral

The cost for services was reasonable Agree

The cost for services was reasonable Strongly Agree

Over the phone, staff addressed my questions courteously

Over the phone, staff addressed my questions courteously NOT APPLICABLE

Over the phone, staff addressed my questions courteously Strongly disagree

Over the phone, staff addressed my questions courteously Disagree

Over the phone, staff addressed my questions courteously Neutral

Over the phone, staff addressed my questions courteously Agree

Over the phone, staff addressed my questions courteously Strongly Agree

Question Title

* 2. How would you rate the quality of the service you received?

4 - Excellent

3 - Good

2 - Fair

1 - Poor

Question Title

* 3. To what extend did we meet your needs?

4- All of almost all of my needs have been met

3- Most of my needs have been met

2- Only a few of my needs have been met

1- None of my needs have been met

Question Title

* 4. If a friend were in need of similar help, would you recommend us to him or her?

4- Yes, definitely

3- Yes, I think so

2- No, I don't think so

1- No, definitely not

Question Title

* 5. How did you hear about the Effingham County Health Department

Question Title

* 6. What service did you receive?

Blood pressure

Hearing screening

Immunization

Lab draw

Lead screen

Maternal-child health service

Question or professional consultation

STD test

TB test

WIC

Other (please specify)

Effingham County Health Department Customer Satisfaction Survey

Question Title

* 1. Circle the answer that best described your experience from 1 (Strongly disagree) to 5 (Strongly agree), or circle not applicable

Question Title

* 2. How would you rate the quality of the service you received?

Question Title

* 3. To what extend did we meet your needs?

Question Title

* 4. If a friend were in need of similar help, would you recommend us to him or her?

Question Title

* 5. How did you hear about the Effingham County Health Department

Question Title

* 6. What service did you receive?

Question Title

* 7. What can we do to improve our services? Comments (Optional)