1.

* 1. Are you familiar with the services the health department provides?

* 2. Comments:

* 3. Are the services the health department provides sufficient to meet the needs of our community?

* 4. Comments:

* 5. Have you ever received any services from the health department?

* 6. Comments:

* 7. Are the hours of operation (8:30 am-7:00 pm Monday through Thursday and 8:30 am-5:00 pm on Friday) sufficient to meet the needs of the community?

* 8. Comments:

* 9. Do you have any suggestions for improvement or additional services?

* 10. Other comments:

* 11. Name (optional)

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