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* 1. Please tell us your age range.

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* 2. Please tell us your gender.

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* 3. Which services did you seek or receive from The Perry County Health Department? (choose all that apply)

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* 4. How convenient to access was our facility?

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* 5. How would you rate your wait time (either in the office or on a return phone call)?

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* 6. How friendly were the staff you worked with?

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* 7. If we could not serve you, how satisfied were you with the referral or resource we provided?

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* 8. How likely is it that you would recommend this organization to a friend or colleague?

NOT AT ALL LIKELY
EXTREMELY LIKELY

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* 9. How have you heard about Health Department services in the past?

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* 10. Which newspaper(s) and radio station(s) do you read/listen to?

0 of 10 answered
 

T