TLCHD Customer Satisfaction Survey Siga este enlace para tomar la encuesta en español: TLCHD Encuesta de Satisfacción del Cliente Welcome to TLCHD's Customer Satisfaction Survey! Please press "Done" when you finish to save & submit your answers. Thank you for helping us to improve our services at the department! Question Title * 1. When did you receive our services? Date of Service: Date Question Title * 2. Your Zip Code Question Title * 3. First time visiting / receiving services from the Health Department? Yes No Question Title * 4. Where did you receive TLCHD's services or information? Downtown Toledo Western Lucas County East Toledo Family Center (WIC Only) Phone Call Website / Online Email / Report Community Event / Program (please specify) Question Title * 5. What was the *main* service or information you received from us? Birth & Death Records Food Safety Inspections / Plans / Permits Environmental Inspections / Licensing Immunizations / Shots Training or Class (ServSafe, Safe Sleep, etc.) Housing Complaints HIV / STD Services / PrEP Childhood Lead Testing / Lead Related Tai Chi / Senior Programs TB Testing (Tuberculosis) Harm Reduction / Syringe Services / Naloxone Kits WIC (Women, Infants, Children) Outreach Services (Tobacco Services, BCMH, Teen Pregnancy Prevention) Other (please specify) Please rate us on the following: Question Title * 6. I was treated with courtesy and respect by the staff who helped me today. Strongly Disagree Disagree Neutral Agree Strongly Agree N/A Strongly Disagree Disagree Neutral Agree Strongly Agree N/A Question Title * 7. Staff were professional, knowledgeable, and competent. Strongly Disagree Disagree Neutral Agree Strongly Agree N/A Strongly Disagree Disagree Neutral Agree Strongly Agree N/A Question Title * 8. Services and information were received in a timely and efficient manner. Strongly Disagree Disagree Neutral Agree Strongly Agree N/A Strongly Disagree Disagree Neutral Agree Strongly Agree N/A Question Title * 9. Overall: I am pleased with the customer service I received today. Strongly Disagree Disagree Neutral Agree Strongly Agree N/A Strongly Disagree Disagree Neutral Agree Strongly Agree N/A Question Title * 10. Additional Comments, Questions, Concerns: Question Title * 11. If you would like to be contacted about your recent experience,please leave your information below: Name: Email: Question Title * 12. How did you find out about the Health Department's services? Friends/Family Doctor Social Media: Facebook, Twitter, etc. Internet TV Newspaper Radio Other (please specify) Question Title * 13. Gender Male Female Question Title * 14. Age <18 18-24 25-32 33-40 41-54 55-64 65 and Over Question Title * 15. Race White Black/African American Asian Native American / Alaskan Native Hawaiian Native / Pacific Islander Other (please specify) Question Title * 16. Do you consider yourself Hispanic / Latino? Yes No Question Title * 17. What language(s) do you speak at home? English Spanish Arabic Chinese Japanese Other (please specify) Your opinion matters! Thank you for taking our survey and helping us to improve our services! Done