Alexander County Health Department Patient Satisfaction Survey 2027 (2026-27)

Question Title

1. Please tell us what area of the health department you visited or interacted with: (select one)

Child Health Clinic

Dental Health Clinic

Immunization Clinic

Primary Care Clinic

Sexually Transmitted Disease Clinic

WIC (Women, Infants, Children)

Other (please specify)

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2. Do you live in Alexander County?

Yes

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3. Please tell us the date and time that you visited or interacted with the health department.

Date / Time

Date

Time

AM/PM

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4. What is your age at the time of this visit? (If you are here for your child, please select their age)

0-20

21-30

31-40

41-50

51-60

61-70

71-80

81+

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5. What is your gender? (If you are here for your child, please list their gender)

Male

Female

Not Listed (please specify)

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6. Which category best describes you? Please select all that apply:

White

Black or African American

Hispanic or Latino

Asian or Asian American

American Indian or Alaska Native

Native Hawaiian or other Pacific Islander

Not Listed (please specify)

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7. Based on your visit, please rate the following

	Excellent	Good	Fair	Poor	N/A
The ease of making an appointment for the services	The ease of making an appointment for the services Excellent	The ease of making an appointment for the services Good	The ease of making an appointment for the services Fair	The ease of making an appointment for the services Poor	The ease of making an appointment for the services N/A
The availability of same-day/sick appointment times	The availability of same-day/sick appointment times Excellent	The availability of same-day/sick appointment times Good	The availability of same-day/sick appointment times Fair	The availability of same-day/sick appointment times Poor	The availability of same-day/sick appointment times N/A
The friendliness and professionalism of our staff	The friendliness and professionalism of our staff Excellent	The friendliness and professionalism of our staff Good	The friendliness and professionalism of our staff Fair	The friendliness and professionalism of our staff Poor	The friendliness and professionalism of our staff N/A
The length of time you had to wait before being seen	The length of time you had to wait before being seen Excellent	The length of time you had to wait before being seen Good	The length of time you had to wait before being seen Fair	The length of time you had to wait before being seen Poor	The length of time you had to wait before being seen N/A
The cleanliness, safety, and accessibility of our facilities	The cleanliness, safety, and accessibility of our facilities Excellent	The cleanliness, safety, and accessibility of our facilities Good	The cleanliness, safety, and accessibility of our facilities Fair	The cleanliness, safety, and accessibility of our facilities Poor	The cleanliness, safety, and accessibility of our facilities N/A
The overall satisfaction with the services received	The overall satisfaction with the services received Excellent	The overall satisfaction with the services received Good	The overall satisfaction with the services received Fair	The overall satisfaction with the services received Poor	The overall satisfaction with the services received N/A

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8. Do you feel your personal information was kept private?

Yes

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9. Do the health department's hours of operation (8:00 A.M. until 5:00 P.M., Monday through Friday) meet your needs and if they don't, what would you suggest?

Yes

Suggestion (please specify)

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10. Did staff communicate with you in a fair way which made you understand the services and/or care you received today?

Yes

No (Please explain)

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11. Please share with us any information that might help improve the services we provide.

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12. What is your preferred method of contact for appointments/appointment reminders?

Text Alerts

Phone Calls

Emails

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13. In the event of a disaster, which communication channels do you rely most heavily on to receive accurate updates from local officials?

Text Alerts

Social Media

Community Leaders

Word of Mouth

Other (please specify)

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14. Did you utilize interpretation services today?

Yes

Alexander County Health Department Patient Satisfaction Survey 2027 (2026-27)

Please request assistance if...

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* 1. Please tell us what area of the health department you visited or interacted with: (select one)

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* 2. Do you live in Alexander County?

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* 3. Please tell us the date and time that you visited or interacted with the health department.

Question Title

* 4. What is your age at the time of this visit? (If you are here for your child, please select their age)

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* 5. What is your gender? (If you are here for your child, please list their gender)

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* 6. Which category best describes you? Please select all that apply:

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* 7. Based on your visit, please rate the following

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* 8. Do you feel your personal information was kept private?

Question Title

* 9. Do the health department's hours of operation (8:00 A.M. until 5:00 P.M., Monday through Friday) meet your needs and if they don't, what would you suggest?

Question Title

* 10. Did staff communicate with you in a fair way which made you understand the services and/or care you received today?

Question Title

* 11. Please share with us any information that might help improve the services we provide.

Question Title

* 12. What is your preferred method of contact for appointments/appointment reminders?

Question Title

* 13. In the event of a disaster, which communication channels do you rely most heavily on to receive accurate updates from local officials?

Question Title

* 14. Did you utilize interpretation services today?

1. Please tell us what area of the health department you visited or interacted with: (select one)

2. Do you live in Alexander County?

3. Please tell us the date and time that you visited or interacted with the health department.

4. What is your age at the time of this visit? (If you are here for your child, please select their age)

5. What is your gender? (If you are here for your child, please list their gender)

6. Which category best describes you? Please select all that apply:

7. Based on your visit, please rate the following

8. Do you feel your personal information was kept private?

9. Do the health department's hours of operation (8:00 A.M. until 5:00 P.M., Monday through Friday) meet your needs and if they don't, what would you suggest?

10. Did staff communicate with you in a fair way which made you understand the services and/or care you received today?

11. Please share with us any information that might help improve the services we provide.

12. What is your preferred method of contact for appointments/appointment reminders?

13. In the event of a disaster, which communication channels do you rely most heavily on to receive accurate updates from local officials?

14. Did you utilize interpretation services today?