The Hertford County Public Health Authority is committed to providing quality health services and programs that are consistent with our mission of disease prevention for all people in Hertford County. Please take a few moments to tell us how we are doing. Choose the responses that best describe your experience with Hertford County Public Health Authority. We welcome any suggestions you may have for how we can improve the services we provide for the public and to your organization. Thank you for your comments.

* 1. Do the current hours of operation meet your needs?

* 2. Thinking about the past year, how would you rate your overall experience with the programs and/or services provided by the Hertford County Public Health?

* 3. Did the programs or services provided meet your needs?

* 4. Please rate your level of satisfaction with the knowledge exhibited by the Health Department staff you worked with over the past year.

* 5. Please rate your level of satisfaction with the professionalism exhibited by the Health Department staff you worked with over the past year.

* 6. Please rate the responsiveness of Health Department staff to your requests for programs, information, and/or services. (Examples, returned phone messages promptly, scheduled meetings/programs in a timely fashion, etc.)

* 7. What level of confidence do you have in the Health Department's ability to deliver the service(s) that you have requested.

* 8. Please rate how effective the Hertford County Public Health Authority is in:

  Very Effective Effective Somewhat Effective/Fair Poor Very Poor N/A
meeting the health needs of the community
meeting requests for information/speakers/resources
collaborating with outside organizations
serving as the communities health network leader

* 9. Please choose the category below that best describes your organization affiliation, if applicable.

* 10. 8. Please identify the group of staff members within the Health Department with whom you most frequently work. (You may choose more than one group).

* 11. What do you see as the primary gap(s) in service and support provided by the Hertford County Public Health Authority? Please provide specific areas where these services are needed.

* 12. Please provide additional suggestions on how the Hertford County Public Health Authority can improve the health of Hertford County residents.

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