2016 JCDPH Customer Satisfaction Survey Question Title * 1. Today I: Had a scheduled appointment Was a walk-in Question Title * 2. How long was your wait time today? Less than 30 minutes 30 minutes-1 hour Over 1 hour Question Title * 3. How long was your visit today? Less than 30 minutes 30 minutes-1 hour Over 1 hour Question Title * 4. Reason for visit: Adult Health (Physical) BCCCP/WISEWOMAN Care Coordination for Children Communicable Disease Family Planning (Birth Control) Employee Health Health Promotion and Education Immunizations Kindergarten Health Assessment Laboratory Services Maternity Clinic Nutrition Services Pregnancy Care Management Sexually Transmitted Diseases Clinic Sports Physical WIC (Women, Infants, and Children) Question Title * 5. How would you rate our service today? Great Good Fair Poor Question Title * 6. What is your preferred method of communication for appointment reminders, follow-up, news on special programs, etc? Face-to-face Mail Phone call Question Title * 7. How do you prefer to receive health information from Health Department staff? Brochures/handouts Verbal information Waiting room TVs I do not wish to receive health information Question Title * 8. The Health Department is open from 8 AM- 5 PM. Do our hours meet your needs? Yes No Question Title * 9. If no, please check the hours that would meet your needs. Check all that apply. 7 AM-8 AM 5 PM-6 PM Weekend hours Other (please specify) Question Title * 10. Anything else you would like to share with us? Done