At the Cerro Gordo County Department of Public Health, we strive to improve services. To do this, we need your feedback. Your responses are anonymous and we thank you for your time. 

* 1. Which services did you receive from the Cerro Gordo County Health Department?

* 2. Please mark the circle that best describes the level of service you received: 

  Excellent Good Average Needs Improvement Poor
Politeness & respectfulness of staff
Services met your needs 
Staff response to questions 
Staff communication to you 
Wait time for service 
Overall quality of service

* 3. If you were given educational materials (brochures, flyers, folders, websites), did you understand them?

* 4. Please share any additional comments, suggestions, or feedback about the services provided to you: 

* 5. Today's Date

Date
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Report a problem

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