Customer Satisfaction Survey

Your opinion matters! To improve the services we provide to Clermont County residents and business owners, please complete the following survey. Please list anyone who provided outstanding service. Thank you for your valuable feedback.

Question Title

* 1. The service I received was for (select all that apply)

Birth/death records

Car seat program

CMH (Children with Medical Handicaps)

Immunizations

Injury Prevention/Syringe Services Program

Licensed facility (food operation, pool/spa, camp, body art, etc.)

Physical

Plumbing

Private water

Septic

Tobacco cessation

WIC

Other (please specify)

Question Title

* 2. What did we do well?

Question Title

* 3. How can we improve to serve you better?

Question Title

* 4. What is your age?

Under 18

18-24

25-39

40-64

65+

Question Title

* 5. What is your zip code?

45102

45103

45106

45107

45112

45118

45120

45121

45122

45130

45140

45147

45150

45153

45156

45157

45160

45176

45244

45245

Other (please specify)