Kentucky Department for Public Health (KDPH) Suggestion Box

The purpose of this survey is to gather feedback in regards to the Kentucky Department for Public Health (DPH) on an ongoing basis.  The survey is designed for capturing what we are doing well, as well as where there are opportunities for growth.  

Feedback may come from DPH or local health department staff, as well as external stakeholders. 

If you have more than one suggestion, please complete one
separate survey response for each.

All responses are anonymous and information will
be reviewed regularly.
   

Thank you for your time!
I work for:

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* 1. I work for:

Please indicate what division your feedback pertains to.

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* 2. Please indicate what division your feedback pertains to.

My feedback best pertains to the following:

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* 3. My feedback best pertains to the following:

Please provide your feedback in the comment box provided below and be as specific as possible.

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* 4. Please provide your feedback in the comment box provided below and be as specific as possible.

Optional: Please leave your name, email, and phone number only if you wish to be contacted for follow-up.

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* 5. Optional: Please leave your name, email, and phone number only if you wish to be contacted for follow-up.

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