It is RCHD's goal to provide excellent services to the residents of Ross County and Southeast Ohio.  Your feedback is used to improve our programs and services.  Your answers are anonymous.  We ask that you take a brief minute or two to complete this customer service feedback survey.  We appreciate your help and feedback! 

* 1. What date did you receive services?

Date / Time

* 2. What is your zip code

* 3. What was the main service you recieved today?

* 4. Where did you receive RCHD services or information?

* 5. Was this the first time you recieved services from Ross County Health District?

Please rank our services on the following:

* 6. I was treated with courtesy and respect by RCHD staff.

* 7. RCHD staff were professional, knowledgeable, and competent.

* 8. Services and information were received in a timely and efficient manner.

* 9. Overall, I am pleased with the services received today.

* 10. Do you have any additional comments or questions?

* 11. If you would like to be contacted about your experience, please leave your name and contact information below. 

Thank you for participating.  Your responses will help us improve our services.  We appreciate your help!