517 Court Street RM 105 | Neillsville, WI 54456
Phone: (715)743-5105 | Toll Free:1-877-743-5105 | Fax:(715)743-5115| http://www.co.clark.wi.us


Thank you for choosing the Clark County Public Health Department. In order to continuously improve the services we provide our clients, we kindly ask that you complete the following survey. The survey will only take a few minutes of your time. The responses you provide will be confidential. No identifying information about you will be collected.

If you have any questions about the survey, please contact:
Contact name: Robert Leischow, MPH
Phone: 715.743.5116
Email: robert.leischow@co.clark.wi.us

We thank you in advance for your valuable feedback.

Instructions for Completing the Survey Online:
For each question please select the answer or answers that best represents your response. When you are finished completing the survey, hit the "Done" button.

Instructions for Completing the Survey Hardcopy:
For each question please select the answer or answers that best represents your response. When you are finished completing the survey, please return your survey to the drop box location at the reception area within the health department.

* 1. During your visit with the Clark County Health Department, what program(s)/service(s) did you receive?

* 2. Where did you learn about our available services?

* 3. Where did you receive your service(s)?

* 4. How affordable were the services you received at the Clark County Health Department?

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