Customer Satisfaction

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* 1. Please tell us how we are doing?

	Strongly Disagree	Disagree	No Opinion	Agree	Strongly Agree	N/A
I received service within a timely manner.	I received service within a timely manner. Strongly Disagree	I received service within a timely manner. Disagree	I received service within a timely manner. No Opinion	I received service within a timely manner. Agree	I received service within a timely manner. Strongly Agree	I received service within a timely manner. N/A
Staff was courteous, knowledgeable, and professional.	Staff was courteous, knowledgeable, and professional. Strongly Disagree	Staff was courteous, knowledgeable, and professional. Disagree	Staff was courteous, knowledgeable, and professional. No Opinion	Staff was courteous, knowledgeable, and professional. Agree	Staff was courteous, knowledgeable, and professional. Strongly Agree	Staff was courteous, knowledgeable, and professional. N/A
My privacy and confidentiality were respected.	My privacy and confidentiality were respected. Strongly Disagree	My privacy and confidentiality were respected. Disagree	My privacy and confidentiality were respected. No Opinion	My privacy and confidentiality were respected. Agree	My privacy and confidentiality were respected. Strongly Agree	My privacy and confidentiality were respected. N/A
My questions and concerns were addressed and answered.	My questions and concerns were addressed and answered. Strongly Disagree	My questions and concerns were addressed and answered. Disagree	My questions and concerns were addressed and answered. No Opinion	My questions and concerns were addressed and answered. Agree	My questions and concerns were addressed and answered. Strongly Agree	My questions and concerns were addressed and answered. N/A
The office and services were convenient for me.	The office and services were convenient for me. Strongly Disagree	The office and services were convenient for me. Disagree	The office and services were convenient for me. No Opinion	The office and services were convenient for me. Agree	The office and services were convenient for me. Strongly Agree	The office and services were convenient for me. N/A
In the future, I will return to Southeastern Idaho Public Health for services.	In the future, I will return to Southeastern Idaho Public Health for services. Strongly Disagree	In the future, I will return to Southeastern Idaho Public Health for services. Disagree	In the future, I will return to Southeastern Idaho Public Health for services. No Opinion	In the future, I will return to Southeastern Idaho Public Health for services. Agree	In the future, I will return to Southeastern Idaho Public Health for services. Strongly Agree	In the future, I will return to Southeastern Idaho Public Health for services. N/A
Overall, I received excellent service.	Overall, I received excellent service. Strongly Disagree	Overall, I received excellent service. Disagree	Overall, I received excellent service. No Opinion	Overall, I received excellent service. Agree	Overall, I received excellent service. Strongly Agree	Overall, I received excellent service. N/A

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* 2. Which individual did you work with?

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* 3. Other comments -OR- How can we provide better service to meet your needs?

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* 4. Please select the county in which you were served:

Bannock

Bear Lake

Bingham

Butte

Caribou

Franklin

Oneida

Power

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* 5. Please tell us what department helped you today:

Environmental Health

Women, Infant, and Children (WIC)

Health Education

Clinical Services