Fairfield Department of Health Customer Service Survey Question Title * 1. Have you experienced any difficulties contacting the Fairfield Department of Health via telephone? Yes No OK Question Title * 2. Have you ever visited our website? Yes No OK Question Title * 3. What is your level of satisfaction with the following? Does not apply Very Satisfied Satisfied Somewhat Satisfied Very Dissatisfied Employee Interaction Employee Interaction Does not apply Employee Interaction Very Satisfied Employee Interaction Satisfied Employee Interaction Somewhat Satisfied Employee Interaction Very Dissatisfied Served in a timely manner Served in a timely manner Does not apply Served in a timely manner Very Satisfied Served in a timely manner Satisfied Served in a timely manner Somewhat Satisfied Served in a timely manner Very Dissatisfied Question(s) Answered Question(s) Answered Does not apply Question(s) Answered Very Satisfied Question(s) Answered Satisfied Question(s) Answered Somewhat Satisfied Question(s) Answered Very Dissatisfied Information Provided Information Provided Does not apply Information Provided Very Satisfied Information Provided Satisfied Information Provided Somewhat Satisfied Information Provided Very Dissatisfied Hours of Operation Hours of Operation Does not apply Hours of Operation Very Satisfied Hours of Operation Satisfied Hours of Operation Somewhat Satisfied Hours of Operation Very Dissatisfied Comments OK Question Title * 4. Where do you reside? Lancaster City Limits Pickerington City Limits Fairfield County Other (Please Specify) (please specify) OK Question Title * 5. What Services have you received? (More than one box may be checked) Vital Statistics-Birth/Death Certificates WIC Nursing-TB, Immunizations, BCMH Environmental Health Administration Comments or Suggestions OK Thank you for your feedback. It is important to us in serving you and meeting your needs. OK DONE