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Crawford County Public Health
1520 Isaac Beal Rd., Bucyrus, OH 44820
419-562-5871

Customer Satisfaction Survey

Please take a few minutes to fill out this survey on the quality of the service you received today. Crawford County Public Health welcomes your feedback and your answers will be kept confidential. Thank you for your participation.
1.What service(s) did you receive? Select all that apply.(Required.)
2.What is the current age of the client that received service(s)?(Required.)
3.Select the answer that best describes your experience(s) at the extent to which you agree or disagree to the following statements.(Required.)
Strongly Disagree
Disagree
Agree
Strongly Agree
N/A
My request was responded to promptly.
Staff conducted themselves in a professional manner.
Staff members were friendly.
I was treated with courtesy and respect.
The information I received was easy to understand.
Staff listened to my concerns.
Staff answered my questions or referred me to someone who could.
I was provided clear instructions on follow-up steps.
The service provided to me was delivered at the agreed upon date.
Overall, I am satisfied with the services provided.
4.How can we better serve you and the community?
5.What makes it difficult to use our services?
6.Other comments (please comment on any ratings, "neutral", "disagree", or "strongly disagree")
7.If you would like to further discuss your experience with the Division Administrator, please provide your email and/or phone number below.