Customer Satisfaction Survey

Please take a moment to complete our survey to help us better serve you..

*All answers are confidential and anonymous*

What is your age?

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* 1. What is your age?

What is your gender?

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* 2. What is your gender?

What is your race? Mark one or more.

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* 3. What is your race? Mark one or more.

What county do you live in?

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* 4. What county do you live in?

Do you currently have health insurance, or not?

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* 5. Do you currently have health insurance, or not?

Why did you choose this clinic?

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* 6. Why did you choose this clinic?

Do you find that our current hours 7am-12pm & 1-5pm, Monday- Friday convenient for you?

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* 7. Do you find that our current hours 7am-12pm & 1-5pm, Monday- Friday convenient for you?

What type of services did you recieve today?

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* 8. What type of services did you recieve today?

How would you rate your experience at Cherokee County Health Department?

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* 9. How would you rate your experience at Cherokee County Health Department?

  Poor Fair OK Good Great
Scheduling and Sign-In
Wait Time
Nurse, Practitioner, Lab Tech or Case Manager
Price of Services
Facility
Likelihood of referring your friends and relatives to us:
How did you hear about us?

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* 10. How did you hear about us?

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