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Customer Satisfaction Survey
1.
What was the Date of Service:
Date / Time
Date
January
February
March
April
May
June
July
August
September
October
November
December
1900
1901
1902
1903
1904
1905
1906
1907
1908
1909
1910
1911
1912
1913
1914
1915
1916
Su
Sunday
Mo
Monday
Tu
Tuesday
We
Wednesday
Th
Thursday
Fr
Friday
Sa
Saturday
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
2.
What is your current Zip Code?
3.
Where did you receive Trumbull County Combined Health District services or information?
The TCCHD main office (176 Chestnut Ave. NE Warren Ohio 44483),
Your Home or Residence,
Your place of business,
Trumbull County Fairgrounds (During Trumbull County Fair),
Other.
4.
Gender Identification?
Male
Female
Other
Prefer not to answer
5.
Your current age?
Under 18
18-24
25-34
35-44
45-54
55-64
65+
6.
What is your race/ethnicity?
White or Caucasian
Black or African American
Hispanic or Latino
Asian or Asian American
American Indian or Alaska Native
Native Hawaiian or other Pacific Islander
Multi-Racial
Other
Prefer not to answer
7.
What program(s), service(s), or information did you receive from the TCCHD?
Plumbing Inspection (Commercial or Residential) Department: Environmental (2nd Floor).
Sewage (Septic Systems, etc.) Department: Environmental (2nd Floor).
Food Service. Department: Environmental (2nd Floor).
Pool Inspection. Department: Environmental (2nd Floor).
Tattoo Establishment Inspection. Department: Environmental (2nd Floor).
Campground Inspection. Department: Environmental (2nd Floor).
Filed or reported a Nuisance Complaint. Department: Environmental (2nd Floor).
Solid Waste (related). Department: Environmental (2nd Floor).
Home Visiting. Department: Nursing (1st Floor).
Vaccination/Immunization (Covid-19, Tuberculosis, etc.) Department: Nursing (1st Floor).
Car Seats. Department: Nursing (1st Floor).
Safe Sleep. Department: Nursing (1st Floor).
Smoking/Tobacco Cessation. Department: Nursing (1st Floor).
Creating Healthy Communities. Department: Environmental (2nd Floor).
Other (please specify)
8.
I was treated with Courtesy and Respect by the TCCHD Staff member who helped me?
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
9.
The TCCHD Staff member who helped me, was knowledgeable, competent, and friendly.
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
10.
I received help from the TCCHD Staff in a reasonable amount of time.
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
11.
Technical information was given to me in a way that was easy for me to understand.
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
12.
I am satisfied with the services, and information I received.
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
13.
I would recommend services/programs offered by the TCCHD to friends and family.
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
14.
Do you have any additional comments, suggestions, and (or) concerns, etc?
Current Progress,
0 of 14 answered