Your opinion matters to us!!
Please help us improve our services by completing the survey. Thank you very much for taking the time to complete the survey. We appreciate your input!!


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1. I received services on (Required.)

Date

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2. What type of services received? (Mark all that apply) (Required.)

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3. Ease in getting services? (Required.)

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4. Hours of operation? (Required.)

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5. Locating the Health Department? (Required.)

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6. Upper Level Services? (Required.)

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7. Lower Level Services? (Required.)

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8. Time spent waiting?

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9. Friendly and respectful staff? (Required.)

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10. Helpful and knowledgeable staff? (Required.)

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11. Professional behavior and dress of staff? (Required.)

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12. Clean and neat facility? (Required.)

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13. Protecting your privacy? (Required.)

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14. Overall experience? (Required.)

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15. Was this the first time receiving services from the Carroll County General Health District? (Required.)

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16. How did you hear about the Carroll County General Health District? (Required.)

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17. If you were unhappy with your services today, what could we have done better?

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18. Additional Comments

T