* 1. On your most recent encounter with the Lake County General Health District, what program/services did you receive (please check all that apply)

* 2. How did you hear about the Lake County General Health District, related to your most recent visit/encounter?

* 3. I was easily able to find the Lake County General Health District offices.

* 4. Overall, how strongly do you agree or disagree with the following statements:

  Stronly Disagree Disagree Agree Strongly Agree N/A
I was able to get an appointment quickly
I was greeted in a friendly manner
I received service(s) in a reasonable amount of time
I received the kind of service I needed
I am satisfied with the services I received
I would recommend the Lake County General Health District to my friends and family
I would encourage my friends and family so support the Lake County General Health District and its services

* 5. Please tell us where you live.

* 6. How old are you?

* 7. What is your race? Please choose one or more.

* 8. What is your gender?

* 9. Please provide the Lake County General Health District with any comments about your experience with us. Thank you.

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