WIC Satisfaction Survey Question Title * 1. How satisfied are you with your appointment today? Very satisfied Somewhat satisfied Neither satisfied nor dissatisfied Somewhat dissatisfied Dissatisfied OK Question Title * 2. How did you complete your appointment today? Phone call Video In-person in the WIC clinic On-line using wichealth.org OK Question Title * 3. What is your preferred method of completing your appointment? In-person in the WIC clinic Over the phone From my home using video Over the internet using wichealth.org OK Question Title * 4. How likely is it that you would recommend phone or video appointments with Fresno EOC WIC to a friend or family member? 1. Not at all likely 2. 3. 4. 5. Extremely likely Likelihood of recommending phone/video appointments Likelihood of recommending phone/video appointments 1. Not at all likely Likelihood of recommending phone/video appointments 2. Likelihood of recommending phone/video appointments 3. Likelihood of recommending phone/video appointments 4. Likelihood of recommending phone/video appointments 5. Extremely likely OK Question Title * 5. How would you rate the customer service you experienced from the employee who helped you today? Excellent Good Okay Not great Very poor OK Question Title * 6. Do you remember the name of the employee who helped you today? If so, please help us with training and recognition by typing their name in the comment box below. OK Question Title * 7. Were your questions answered and your concerns addressed during your appointment today? Yes No I didn't have questions OK Question Title * 8. Do you have any other suggestions or comments for us today? OK Question Title * 9. How long have you been a customer of Fresno EOC WIC? This is my first appointment Less than six months Six months to a year 1 - 2 years 3-5 years 5 years or more OK DONE
