Customer Satisfaction Survey - Sullivan County Regional Health Department

On a scale of 1 to 5, with 1 being poor and 5 being excellent, please rate your visit with us!

Question Title

* 1. How would you rate the friendliness of our staff?

1

2

3

4

5

Question Title

* 2. How would you rate our facility?

1

2

3

4

5

Question Title

* 3. How would you rate your over all visit?

1

2

3

4

5

Question Title

* 4. How likely are you to recommend Sullivan County Regional Health Department to others for services?

1

2

3

4

5

Question Title

* 5. Which department provided your service today?

Communicable Disease

Adult Clinic

Vital Records

Dental

Womens Health/Family Planning

Pediatric Clinic

WIC

CHANT

Question Title

* 6. How did you hear about us?

Question Title

* 7. Is there anything else you would like us to know?