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WCHD Customer Satisfaction Survey
At the Williams County Health Department (WCHD), we care about providing excellent service. Please take a moment to share your feedback.
*
1.
How would you rate your overall satisfaction with the information or services you received?
(Required.)
Highly Dissatisfied
1 star
Dissatisfied
2 stars
Neither Satisfied nor Dissatisfied
3 stars
Satisfied
4 stars
Highly Satisfied
5 stars
*
2.
What services did you most recently receive from the WCHD?
(Required.)
Immunization
Women, Infants & Children (WIC)
Car Seat Appointment
Birth/Death Certificate
Food Service / Restaurant Inspection
Septic Systems / Water Systems
Recycling
Community Program/Presentation
Other (please specify)
3.
When did you receive services?
Click the dropdown boxes to fill in the information.
Month
Year
Date of Service
-- Select an option --
January
February
March
April
May
June
July
August
September
October
November
December
-- Select an option --
2019
2020
2021
2022
2023
2024
2025
2026
2027
4.
Please indicate how much you agree or disagree with the following statements about
our programs or services.
Strongly Agree
Agree
Disagree
Strongly Disagree
Not Applicable
I am satisfied with the services I received.
Strongly Agree
Agree
Disagree
Strongly Disagree
Not Applicable
The program or service hours met my needs.
Strongly Agree
Agree
Disagree
Strongly Disagree
Not Applicable
Information was clear and easy to understand.
Strongly Agree
Agree
Disagree
Strongly Disagree
Not Applicable
5.
Please indicate how much you agree or disagree with the following statements about
our staff.
Strongly Agree
Agree
Disagree
Strongly Disagree
Not Applicable
I was treated with respect by staff.
Strongly Agree
Agree
Disagree
Strongly Disagree
Not Applicable
I received quality care that was both culturally respectful, as well as easy to understand.
Strongly Agree
Agree
Disagree
Strongly Disagree
Not Applicable
I am treated the same as other people who get services here.
Strongly Agree
Agree
Disagree
Strongly Disagree
Not Applicable
Staff were knowledgeable.
Strongly Agree
Agree
Disagree
Strongly Disagree
Not Applicable
Staff were timely and efficient.
Strongly Agree
Agree
Disagree
Strongly Disagree
Not Applicable
6.
What are your preferred methods for hearing about programs, services, and events offered by the WCHD? Select all that apply.
Community Talking Points (newsletter)
WCHD Website
WCHD Website
Facebook
Instagram
Twitter
Flyer
Printed Brochure
Newspaper
Billboard
Radio
TV Streaming Ads
Email
Word of Mouth
My Healthcare Provider
Community Events
Other (please specify)
7.
What did we do well?
8.
How can we improve?
250%