Thank you for taking the time to provide us your feedback!


This survey will take approximately 1 minute to complete. 

We are committed to customer service excellence! Your input is critical in maintaining and improving the quality of service we deliver.

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* 1. How did you find us today?

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* 2. Which program(s) provided you service today?

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* 3. The following statements pertain to the service(s) you received today from the Fond du Lac County Health Department (FCHD). Please indicate if you agree or disagree with each of the following statements by selecting the circle after each statement.

  Disagree Somewhat Disagree Somewhat Agree Agree Not Applicable
The appearance of the FCHD was clean and tidy.  
The FCHD staff was friendly and respectful.  
I felt the FCHD staff was knowledgeable and met my needs.  
I would recommend the FCHD to my family and friends.  
Overall, I am satisfied with the services that FCHD provided.  

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* 4. How can the FCHD better serve you and our community?  

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* 5. Other comments/suggestions?  

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* 6. What is your gender?

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* 7. What is your current age? 

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* 8. What is your race? (Select all that apply)

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* 9. Would you like someone to contact you?

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