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* 1. Date of Service

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* 2. What service did you received?

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* 3. What transportation do you usually use for your Health Department visit?

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* 4. It was easy to use the phone system

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* 5. Office hours met my needs.

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* 6. The wait time for service was reasonable.

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* 7. The staff was friendly and courteous.

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* 8. The information given was well explained.

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* 9. All my questions were answered.

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* 10. If you have visited our website www.miamicountyhealth.net, was it easy to use?

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* 11. If our website offered online applications and online payment options, would you use them?

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* 12. If you have any additional questions or comments, please enter them below.

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* 13. I would like a return call or email regarding my service.

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