Kenton Hardin Health Department - General Satisfaction Survey

Please tell us about your recent experience with the Kenton Hardin Health Department (KHHD). Select the answer that best represents your response.

What date did you receive service at/from the Kenton Hardin Health Department:

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* 1. What date did you receive service at/from the Kenton Hardin Health Department:

Date / Time
The service I received was:

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* 2. The service I received was:

Please rate your level of agreement with the following statements:

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* 4. Please rate your level of agreement with the following statements:

  Strongly Disagree Disagree Neither Agree or Disagree Agree Strongly Agree N/A
The staff was helpful
The appointment was scheduled in a timely manner
The service offered was professional
Overall, I was pleased with the quality of service
The fees were reasonable
Please share any additional comments, suggestions or feedback about the service provided to you.

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* 5. Please share any additional comments, suggestions or feedback about the service provided to you.

How did you know to contact Kenton Hardin Health Department

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* 6. How did you know to contact Kenton Hardin Health Department

Have you had contact with Kenton Hardin Health Department before?

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* 7. Have you had contact with Kenton Hardin Health Department before?

In general, how would you rate Kenton Hardin Health Department

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* 8. In general, how would you rate Kenton Hardin Health Department

I would like to be contacted about my service. Please reach me at the following phone number or email address (include your name):

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* 9. I would like to be contacted about my service. Please reach me at the following phone number or email address (include your name):

Your contact information is not required. If you would prefer your ratings remain anonymous but still would like to contact Kenton Hardin Health Department, please call 419-673-6230.

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