Health Department Customer Satisfaction Survey 2018 Thank you for choosing the Washtenaw County Health Department. We care about providing excellent service. Please take a moment to share your feedback with us. Thank you! Question Title * 1. During your most recent experience with Washtenaw County Health Department, what program(s) or service(s) did you contact? (Please check any that apply.) Body Art Children's Special Health Care Services (CSHCS) Immunization / Immunization Waiver Hearing / Vision Maternal Infant Health Program (MIHP) Onsite Water Supply / Well Water Onsite Sewage Disposal / Septic System Pollution Prevention Prescription for Health STD / HIV / Sexual Health Services Women, Infants & Children (WIC) Zeeb Road / Environmental Health Customer Service Other (please specify) Question Title * 2. Where did you receive your service(s)? (Please check any that apply.) Environmental Health Office, 705 N. Zeeb Rd., Ann Arbor Health Department Office, 555 Towner St., Ypsilanti Home Visit Field Visit Outreach Site By Phone Farmer's Market Other (please specify) Question Title * 3. Please respond to the following statements about STAFF. Strongly Disagree Disagree Agree Strongly Agree Does Not Apply I was helped in a timely manner. I was helped in a timely manner. Strongly Disagree I was helped in a timely manner. Disagree I was helped in a timely manner. Agree I was helped in a timely manner. Strongly Agree I was helped in a timely manner. Does Not Apply I was treated with respect. I was treated with respect. Strongly Disagree I was treated with respect. Disagree I was treated with respect. Agree I was treated with respect. Strongly Agree I was treated with respect. Does Not Apply Staff members were polite. Staff members were polite. Strongly Disagree Staff members were polite. Disagree Staff members were polite. Agree Staff members were polite. Strongly Agree Staff members were polite. Does Not Apply Staff members listened to my questions or concerns. Staff members listened to my questions or concerns. Strongly Disagree Staff members listened to my questions or concerns. Disagree Staff members listened to my questions or concerns. Agree Staff members listened to my questions or concerns. Strongly Agree Staff members listened to my questions or concerns. Does Not Apply Staff members were helpful. Staff members were helpful. Strongly Disagree Staff members were helpful. Disagree Staff members were helpful. Agree Staff members were helpful. Strongly Agree Staff members were helpful. Does Not Apply Question Title * 4. Please respond to the following statements about GENERAL QUALITY. Strongly Disagree Disagree Agree Strongly Agree Does Not Apply Information was clear and easy to understand. Information was clear and easy to understand. Strongly Disagree Information was clear and easy to understand. Disagree Information was clear and easy to understand. Agree Information was clear and easy to understand. Strongly Agree Information was clear and easy to understand. Does Not Apply I got the information or services I needed. I got the information or services I needed. Strongly Disagree I got the information or services I needed. Disagree I got the information or services I needed. Agree I got the information or services I needed. Strongly Agree I got the information or services I needed. Does Not Apply Program or service hours met my needs. Program or service hours met my needs. Strongly Disagree Program or service hours met my needs. Disagree Program or service hours met my needs. Agree Program or service hours met my needs. Strongly Agree Program or service hours met my needs. Does Not Apply I am satisfied with my experience. I am satisfied with my experience. Strongly Disagree I am satisfied with my experience. Disagree I am satisfied with my experience. Agree I am satisfied with my experience. Strongly Agree I am satisfied with my experience. Does Not Apply I would recommend this program or service to others. I would recommend this program or service to others. Strongly Disagree I would recommend this program or service to others. Disagree I would recommend this program or service to others. Agree I would recommend this program or service to others. Strongly Agree I would recommend this program or service to others. Does Not Apply I was treated the same as other people who get service here. I was treated the same as other people who get service here. Strongly Disagree I was treated the same as other people who get service here. Disagree I was treated the same as other people who get service here. Agree I was treated the same as other people who get service here. Strongly Agree I was treated the same as other people who get service here. Does Not Apply Question Title * 5. Please respond to the following statements about the PHONE. Strongly Disagree Disagree Agree Strongly Agree Not Applicable Staff members were polite on the phone. Staff members were polite on the phone. Strongly Disagree Staff members were polite on the phone. Disagree Staff members were polite on the phone. Agree Staff members were polite on the phone. Strongly Agree Staff members were polite on the phone. Not Applicable It was easy to reach the person or program I needed by phone. It was easy to reach the person or program I needed by phone. Strongly Disagree It was easy to reach the person or program I needed by phone. Disagree It was easy to reach the person or program I needed by phone. Agree It was easy to reach the person or program I needed by phone. Strongly Agree It was easy to reach the person or program I needed by phone. Not Applicable Question Title * 6. Please respond to the following statements about the OFFICE. Strongly Disagree Disagree Agree Strongly Agree Not Applicable The office was clean and comfortable. The office was clean and comfortable. Strongly Disagree The office was clean and comfortable. Disagree The office was clean and comfortable. Agree The office was clean and comfortable. Strongly Agree The office was clean and comfortable. Not Applicable Question Title * 7. For home or field visits: Strongly Disagree Disagree Agree Strongly Agree Not Applicable Staff member arrived at the scheduled day and time. Staff member arrived at the scheduled day and time. Strongly Disagree Staff member arrived at the scheduled day and time. Disagree Staff member arrived at the scheduled day and time. Agree Staff member arrived at the scheduled day and time. Strongly Agree Staff member arrived at the scheduled day and time. Not Applicable Question Title * 8. What did we do WELL? Question Title * 9. What could we do BETTER? Question Title * 10. Did a staff member provide you with EXCELLENT service? Please explain (include their name, if known): Question Title * 11. What is your current age? 17 years old and younger 18-24 years old 25-39 years old 40-64 years old 65 years old and older I prefer not to answer Question Title * 12. How do you identify yourself? (Please check any that apply.) American Indian / Alaskan Native Asian / Asian American Black / African American Hispanic / Latino / Spanish Origin Middle Eastern / North African Native Hawaiian / Other Pacific Islander White / Caucasian I prefer not to answer Other (please specify) Question Title * 13. What is the highest level of education you completed? Less than high school High school graduate Some college Associate’s Degree Bachelor’s Degree Graduate or Professional Degree I prefer not to answer Question Title * 14. What is your current gender identity? (Please check any that apply.) Male Female Transgender I prefer not to answer Additional gender category (please specify) Done
