Thank you for choosing the Sanilac County Health Department.  In order to continually improve the services we provide, we ask that you complete the following survey.  The survey will only take a few minutes of your time. The responses you provide will be confidential. For each questions please select the answer that best represents your response.  THANK YOU in advance for your feedback.

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* 1. During your most recent visit with the Sanilac County Health Department, what program/service did you receive?

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* 2. Where did you learn about our services?

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* 3. Did the Health Department staff give you information about other services that you might be eligible for?

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* 4. Please indicate if you agree or disagree with each of the following statements. If you disagree with any of the statements, please help us understand how we can improve by providing a comment under Question

  Strongly Agree Agree Somewhat Agree Somewhat Disagree Disagree Strongly Disagree N/A
Health Department staff were courteous
Health Department staff were helpful
Wait time for the service I received was appropriate
Services I received met my cultural and/or specialized needs
Building was clean
Health Department website is informative and easy to use
I would recommend the Health Department to my friends and family
Overall, I am satisfied with the service I received.

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* 5. Did anyone provide outstanding service?  If so, whom?

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* 6. What did we do well during your visit?

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* 7. What can improve? (please be specific)

The following questions ask for basic demographic information pertaining to the person that received our service. Your answers to these questions will not affect the service you receive in any way.

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* 8. What is your gender

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* 9. What is your current age?

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* 10. What is your race/ethnicity? (check all that apply)

Thank you for your feedback!

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