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DHD #10 Customer Satisfaction Survey
We want to hear from you! District Health Department #10 strives to provide great customer service and to make sure that we meet the needs of our communities. Thanks for taking the time to help us improve.
OK
1.
Would you be willing to take a quick survey to let us know how we're doing?
Yes
No - Client Declined
2.
What service did you receive?
Breast and Cervical Cancer Screening Program
Children Special Health Care Services
Family Planning
Food Service or Safety
Immunizations
Medicaid Application Assistance
MIHP (Material Infant Health Program)
STD/HIV Services
Well or Septic Permit
WIC (Women, Infants, and Children)
WISEWOMAN
Other Service (please specify)
3.
Where did you receive your service?
Crawford (Grayling)
Kalkaska
Lake (Baldwin)
Manistee
Mason (Ludington)
Mecosta (Big Rapids)
Missaukee (Lake City)
Newaygo (White Cloud - Main Office)
Newaygo (Grant)
Oceana (Hart - Main Office)
Oceana (Shelby)
Wexford (Cadillac)
Other (please specify)
4.
Please take a moment to rate us on the categories below
Very Poor
Poor
Fair
Good
Very Good
Does Not Apply
Ability to get an appointment.
Very Poor
Poor
Fair
Good
Very Good
Does Not Apply
Hours service is available.
Very Poor
Poor
Fair
Good
Very Good
Does Not Apply
Time in waiting room.
Very Poor
Poor
Fair
Good
Very Good
Does Not Apply
Staff listened to you.
Very Poor
Poor
Fair
Good
Very Good
Does Not Apply
Staff took enough time with you.
Very Poor
Poor
Fair
Good
Very Good
Does Not Apply
Staff returned your call promptly.
Very Poor
Poor
Fair
Good
Very Good
Does Not Apply
Staff was respectful to you.
Very Poor
Poor
Fair
Good
Very Good
Does Not Apply
Staff answered your questions.
Very Poor
Poor
Fair
Good
Very Good
Does Not Apply
Overall quality of service.
Very Poor
Poor
Fair
Good
Very Good
Does Not Apply
5.
Additional Comments
6.
Would you like us to contact you?
No
Yes (please list name and contact information)
Thank you for taking the time to fill out our survey! Have a great day!
Current Progress,
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