1.

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

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* 2. Comments:

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

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* 4. Comments:

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

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* 6. Comments:

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* 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?

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* 8. Comments:

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

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* 10. Other comments:

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* 11. Name (optional)

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