County of San Diego Health & Human Services Agency (HHSA) Medical Care Services Customer Experience Survey Question Title The County of San Diego commits to provide every one of our customers with a positive experience and would like to hear your thoughts. Your input will help us provide exceptional service and your responses will be kept strictly confidential, if requested. Thank you for your participation. Question Title * 1. Please indicate if you are an internal or an external customer of the County of San Diego: External (not a County employee) Internal (County employee) Question Title * 2. Select the section of the HHSA Medical Care Services Department for which you are providing feedback. Medical Care Services Administration and Clinical Leadership Office of Nursing Excellence Pharmacy Public Health Center - Central 5202 University Avenue, San Diego, CA 92105 Public Health Center - East367 North Magnolia Avenue, El Cajon, CA 92020 Public Health Center - North Central 5055 Ruffin Road, San Diego, CA 92123 Public Health Center - North Coastal3609 Ocean Ranch Boulevard, Suite #104, Oceanside, CA 92056 Public Health Center - North Inland649 West Mission Avenue, Suite 2, Escondido, CA 92025 Public Health Center - South 690 Oxford Street Chula Vista, CA 91911 San Diego Advancing and Innovating Medi-Cal Other (please specify) Question Title * 3. On a scale of 1-5, with 1 being strongly disagree and 5 being strongly agree, please rate the following statements: Strongly Disagree Disagree Neutral Agree Strongly Agree County representative was helpful County representative was helpful Strongly Disagree County representative was helpful Disagree County representative was helpful Neutral County representative was helpful Agree County representative was helpful Strongly Agree County representative was knowledgeable County representative was knowledgeable Strongly Disagree County representative was knowledgeable Disagree County representative was knowledgeable Neutral County representative was knowledgeable Agree County representative was knowledgeable Strongly Agree County representative was attentive County representative was attentive Strongly Disagree County representative was attentive Disagree County representative was attentive Neutral County representative was attentive Agree County representative was attentive Strongly Agree I was treated with respect I was treated with respect Strongly Disagree I was treated with respect Disagree I was treated with respect Neutral I was treated with respect Agree I was treated with respect Strongly Agree I was served in a timely manner I was served in a timely manner Strongly Disagree I was served in a timely manner Disagree I was served in a timely manner Neutral I was served in a timely manner Agree I was served in a timely manner Strongly Agree Overall, I was provided with a positive experience at the County of San Diego Overall, I was provided with a positive experience at the County of San Diego Strongly Disagree Overall, I was provided with a positive experience at the County of San Diego Disagree Overall, I was provided with a positive experience at the County of San Diego Neutral Overall, I was provided with a positive experience at the County of San Diego Agree Overall, I was provided with a positive experience at the County of San Diego Strongly Agree Any specific comments? Share them here. Question Title * 4. Would you like to recognize somebody today for providing you with exceptional customer service? Employee first and last name Comments: Question Title Responses to this survey will be confidential and aggregated to analyze overall customer service. Employees identified are for recognition purposes only. Question Title * 5. Provide your contact information (Optional) Name Department Email Address Phone Number Done