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Portage County Health District Customer Satisfaction Survey-website
Website
1.
Date of service
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)
3.
Township/City
4.
Was the service helpful? 󠆶
YES
NO
5.
Was the staff respectful? 󠆶
YES
NO
6.
Would you return to PCHD for services? 󠆶
YES
NO
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
8.
How can we better serve you?
9.
Would you like to be contacted? 󠆶
10.
If yes, please provide e-mail or phone number
Current Progress,
0 of 10 answered
