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External Customer Satisfaction Survey
YOUR OPINION MATTERS TO US!
Thank you for taking the time to share your feedback! We value your input and appreciate your support in recognizing our team’s efforts to provide the best possible customer service.
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1.
(Optional) Under Florida law, your survey response is considered public record. Any information you provide could be released in response to a public records request. If you wish to discuss your experience further, please leave your name and contact number. Our customer service liaison will reach out to you promptly.
Name
Phone Number
2.
Select Department Location:
Clearwater Health Department
Largo Health Department
Mid-County Health Department
Pinellas Park Health Department
St. Petersburg Health Department
Tarpon Springs Health Department
Phone/Website
3.
Please select services received:
ADAP
Family Planning
Breast and Cervical Cancer Screening
Dental
Home Visiting (Healthy Start/Healthy Families/Nurse Family Partnership)
Medical Records
NARCAN
PrEP
Refugee Health
Primary Care
STD Clinic
TB Clinic
Vital Statistics (Birth and Death Certificates)
WIC
Other
Other (please specify)
Current Progress,
0 of 10 answered
