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Thank you for choosing the Saginaw County Health Department. In order to continuously improve the services we provide, we kindly ask you to complete the following survey. The survey will only take a few minutes of your time. The responses you provide will be confidential. For each question please select the answer that best represents your response. If you have any questions please contact (989) 758-3805. We thank you in advance for your valuable feedback.

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* 1. During your most recent visit with the Saginaw County Health Department, what program/service did you receive?

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* 2. Where did you learn about our available services?

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* 3. Where did you receive your service?

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* 4. Please indicate if you agree or disagree with each of the following statements by checking the number under your response.  If you disagree with any of the statements below, please help us understand how we can improve by providing a comment under question 9.

  Strongly Agree Agree Somewhat Agree Somewhat Disagree Disagree Strongly Disagree N/A
Health Department staff were courteous.
Health Department staff were helpful.
The wait time for the service(s) I received was appropriate.
The service(s) I received met my cultural and/or special needs.
The building was clean.
The Health Department website is informative and easy to use.
The Health Department automated phone system was easy to use.
I would recommend the Saginaw County Department of Public Health to my friends and family.
Overall, I am satisfied with the service(s) I received today.

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* 5. Did Health Department staff give you information during today's visit about other services for which you might be eligible?

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* 6. Did anyone provide outstanding service?  If so, whom?

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* 7. What did we do well during your visit?

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* 8. What can we improve? (please be specific)

The following optional questions ask for basic demographic information pertaining to the person that received service(s).  Your answers to these questions will not affect the service(s) you receive in any way.

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* 9. What is your gender?

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* 10. What is your current age?

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* 11. What is your race/ethnicity? (check all that apply)

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* 12. How did you arrive at Saginaw County Health Department?

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