Customer Service Satisfaction Survey
*
1.
Please select the county of the clinic you attended.
(Required.)
Project
Project
-- Select an option --
Adams/Brown
Allen
Ashtabula
Athens/Perry
Auglaize
Belmont
Butler
Carroll
Champaign
Clark
Clermont
Clinton
Coshocton
Crawford
Cuyahoga
Darke/Mercer
Defiance
Delaware/Morrow/Union
Erie/Huron
Fairfield
Fayette
Franklin
Fulton/Henry
Gallia
Greene
Guernsey
Hamilton
Hancock/Hardin/Putnam
Harrison
Highland
Hocking
Holmes
Jackson
Jefferson
Knox
Lake/Geauga
Lawrence
Licking
Logan
Lorain
Lucas
Madison
Mahoning
Marion
Medina
Meigs
Miami
Monroe
Montgomery
Muskingum
Noble
Ottawa
Paulding
Pike
Portage/Columbiana
Preble
Richland/Ashland
Ross/Pickaway
Sandusky
Scioto
Seneca
Shelby
Stark
Summit
Trumbull
Tuscarawas
VanWert
Vinton
Warren
Washington/Morgan
Wayne
Williams
Wood
Wyandot
2.
How satisfied were you with our service?
Highly Satisfied
Somewhat Satisfied
Dissatisfied
3.
Please tell us why you answered this way.