Client Satisfaction Survey Question Title * 1. I received services on * Date Date Question Title * 2. The main service I received was Birth or Death Certificates Childhood or Adult Shots (Including COVID-19 vaccine) Environmental Health Services (permits, food licensing, inspections, etc.) BCHM (Children with Medical Handicaps) Other Question Title * 3. Was this the first time you received services from Scioto County Health Department? Yes No Question Title * 4. Did you find the Scioto County Health Department Office easily? Yes No Question Title * 5. How long was your wait time? Question Title * 6. Did you receive courteous and respectful treatment? Strongly agree Agree Neither agree nor disagree Disagree Strongly disagree Please explain, Question Title * 7. Information provided to you was easy to understand? Strongly agree Agree Neither agree nor disagree Disagree Strongly disagree Question Title * 8. Are you satisfied with the quality of service? Very satisfied Satisfied Neither satisfied nor dissatisfied Dissatisfied Very dissatisfied Question Title * 9. I would seek services from the Scioto County Health Department again? Strongly agree Agree Neither agree nor disagree Disagree Strongly disagree Question Title * 10. I would recommend services from the Scioto County Health Department again? Strongly agree Agree Neither agree nor disagree Disagree Strongly disagree Done