SEK Multi-County Health Department  - Visit Feedback Questions

Please take just a moment or two to answer some questions to help us improve the quality of our services.  Thank You for your time.  

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* 1. In what county did you receive Healthy Start Home Visitor services?

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* 2. Was this your first Healthy Start Home Visitor visit?

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* 3. What services did you receive?  Check all that apply.

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* 4. As a result of your visit did you contact any of the following?

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* 5. This visit met my overall needs.

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* 6. My questions were answered during this visit.

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* 7. The cost of the services I received was fair.

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* 8. During the visit my privacy was respected.

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* 9. The information I received during the visit was helpful.

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* 10. I would be interested in the following information / activities:  

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