Welcome to DCGHD's Customer Satisfaction Survey! Please press "Done" when you finish to save & submit your answers. Thank you for helping us to improve our services!

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* 1. Date of Service

Date

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* 2. What service was provided to you? (ex. Inspection, WIC Services, Carseat class).

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* 3. Was the staff helpful?

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* 4. Was the staff friendly?

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* 5. How would you like to learn about Defiance County Public Health programs and services?

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* 6. Please list any additional programs or services that you would like to see offered by Defiance County Public Health?

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* 7. Please select your gender 

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* 8. Please indicate how much you agree or disagree with the following statements.

  Strongely Agree Agree Neutral Disagree Strongly Disagree N/A
I am happy with my overall experience
I am satisfied with the services I received
I thought the verbal instructions/advice were easy to understand
My questions were answered
I am likely to recommend Defiance County Public Health to family or friends
Your opinion matters! Thank you for taking our survey!

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