We value you as a customer deserving the best service we can offer. Please tell us how we are doing by answering the following questions about the services you received today. Thank you.

Question Title

* 1. Date of your Visit?

Date

Question Title

* 2. Did you have an appointment?

Question Title

* 3. What service did you receive today?

Question Title

* 4. How helpful and courteous was our staff?

Question Title

* 5. Did staff have the skills/knowledge to meet your needs?

Question Title

* 6. How long were you here for your visit?

Question Title

* 7. How acceptable was the length of your visit to you?

Question Title

* 8. How well do the hours we provide services meet your needs?

Question Title

* 9. Did you have any concerns about the privacy of your medical information?

Question Title

* 10. Would you refer family or friends to Davidson County Health Department?

Question Title

* 11. Comments (Please share any ideas or suggestions for improving our services.)

Question Title

* 12. Would you like someone to call you about the services you received today?

Thanks for your feedback! If you would like to discuss anything about your visit in further detail, please contact our Quality Improvement Coordinator at 336-242-2344 or by email at nancy.stout@davidsoncountync.gov

T