Exit this survey Public Input Survey (FCHD-English) Question Title * 1. The Franklin County Health Department is open from 8AM- 5PM. How do you feel about the hours of operations? These hours are just right Health Department should be open earlier than 8:00AM Health Department should close later than 5:00PM There should be extended hours (after 5PM) at least one day a week Other (please specify) Question Title * 2. How often do you visit or utilize services provided at the Franklin County Health Department (this includes services / clinics such as pediatrics, dental, prenatal, family planning, environmental health, health education, dental)? At least once a year At least every other year, or two years I have not used the Franklin County Health Department in over 3 or more years I have never used the Franklin County Health Department Question Title * 3. When answering the question above, if you checked that you have not used the Franklin County Health Department in 3 or more years, or that you have never used the health department, please tell us why by selecting from the answers below (you may check more than one answer) I have not used the health department because I have another doctor I have used the health department before, but I was not happy about the services I received I have not heard good things about the health department Other (please specify) Question Title * 4. Thinking of your visit, how would you rate the following? (Fill in only one box for each item). Excellent Good Fair Poor Privacy provided Privacy provided Excellent Privacy provided Good Privacy provided Fair Privacy provided Poor Length of wait time Length of wait time Excellent Length of wait time Good Length of wait time Fair Length of wait time Poor Quality of care provided Quality of care provided Excellent Quality of care provided Good Quality of care provided Fair Quality of care provided Poor Cleanliness of Health Department Cleanliness of Health Department Excellent Cleanliness of Health Department Good Cleanliness of Health Department Fair Cleanliness of Health Department Poor Bulletin Board / Educational displays Bulletin Board / Educational displays Excellent Bulletin Board / Educational displays Good Bulletin Board / Educational displays Fair Bulletin Board / Educational displays Poor Directional Signs in the building Directional Signs in the building Excellent Directional Signs in the building Good Directional Signs in the building Fair Directional Signs in the building Poor Question Title * 5. Were you treated in a respectful and sensitive manner? Yes No Question Title * 6. Would you recommend the Franklin County Health Dept. to your family and friends? Yes No Question Title * 7. What are some things that would make you more likely to visit the Franklin County Health Department? Extended hours Receiving more information about what all the health department offers There is nothing that would make me more likely to visit I think the health department should offer.....(please check this box if you wish to answer below.) (Please write your answers here) Question Title * 8. Would you be willing to help the Franklin County Health Department find ways to spread the word about the services that they offer, or to help improve our services? Yes No If Yes, please write your name and your phone number below: Question Title * 9. (Optional Question)Which of the following best describes your racial or ethnic background? Black Asian Hispanic American-Indian White Other Question Title * 10. (Optional Question)What is your age? Done