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2026 Customer Service Satisfaction Survey
1.
Date of Service
2.
Which service(s) did you receive today?
(Check all that apply.)
Immunizations
Environmental Health
(Food handler card, inspections, etc.)
Dental Services
Tuberculosis (TB) Services
WIC
Records
(Birth/death certificates, immunization records, medical records)
STI Services
(Sexually Transmitted Infections)
Harvesters (mobile food pantry)
Other
(Please explain in the Comments area)
3.
Which business hours/appointment times might work best for you?
(Check all that apply.)
7 am - 8 am
8 am - 11:15 am
11:15 am - 1 pm
1 pm - 3:30 pm
3:30 pm - 5 pm
Other
(Please explain in the Comments area)
4.
I was serviced in a timely manner.
Agree
Neutral
Disagree
5.
The staff were professional and respectful during my entire visit.
Agree
Neutral
Disagree
6.
I am satisfied with the services I received today.
Agree
Neutral
Disagree
7.
I believe that Clay County Public Health Center does everything that they should to protect the health of the community.
Agree
Neutral
Disagree
8.
Comments?
9.
If you would like to be contacted, please share your contact information below:
Name, Email, Phone Number