Florida Department of Health in Clay County
Customer Satisfaction Survey 2016-2017

* 10. What was the date of your visit to the Health Department?

Date / Time
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* 11. Additional Comments

* 12. If you would like us to contact you about other services or information, please leave your name, address, phone number or email below.  Please note:  To submit a complaint - please email us at ClayCHDWeb@flhealth.gov Otherwise, leave blank.

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