Portage County Health District Customer Satisfaction Survey-website

Website

Question Title

* 1. Date of service

Question Title

* 2. Type of service

WIC

Animal bite investigation

Car seat distribution/installation

Children with Medical Handicaps program

Comprehensive sexuality education

Emergency preparedness

Falls prevention/SAIL

Food safety inspection

General Information

Illness investigation

Permitting/licensing

Plumbing inspection

Pool, spa, beach inspection

Project DAWN/substance abuse

Safe Sleep/Cribs for Kids

School inspection

Sewage system and/or water well inspection

Shots/immunizations

Stormwater program

Tobacco/smoking cessation

Traffic safety/Safe Communities

Other clinic services

Other health education or training

Other inspection or investigaion

Other (please specify)

Question Title

* 3. Township/City

Question Title

* 4. Was the service helpful? 󠆶

YES

Question Title

* 5. Was the staff respectful? 󠆶

YES

Question Title

* 6. Would you return to PCHD for services? 󠆶

YES

Question Title

* 7. After visiting PCHD, I would say:

It was a good experience, it was a good use of my time

More time could have been spent with me

I still have unanswered questions

It was a complete waste of time

Portage County Health District Customer Satisfaction Survey-website

Website

Question Title

* 1. Date of service

Question Title

* 2. Type of service

Question Title

* 3. Township/City

Question Title

* 4. Was the service helpful? 󠆶

Question Title

* 5. Was the staff respectful? 󠆶

Question Title

* 6. Would you return to PCHD for services? 󠆶

Question Title

* 7. After visiting PCHD, I would say:

Question Title

* 8. How can we better serve you?

Question Title

* 9. Would you like to be contacted? 󠆶

Question Title

* 10. If yes, please provide e-mail or phone number