CHS Customer Satisfaction Survey Please take the time to fill out this survey regarding services you may have received from Meeker, McLeod or Sibley County Public Health Departments. Question Title * 1. What was your date of service? Question Title * 2. What county did you receive service in? Meeker McLeod Sibley Question Title * 3. What type of service did you receive? In home Other Location Phone Call Other (please specify) Question Title * 4. The service I received was helpful. Please rate your service. strongly disagree disagree agree strongly agree strongly disagree disagree agree strongly agree Why or Why not? Please Explain. Question Title * 5. The service I received met my expectations. Please rate the service you received. strongly disagree disagree agree strongly agree strongly disagree disagree agree strongly agree Why or Why not? Please Explain. Question Title * 6. My service was timely. strongly disagree disagree agree strongly agree strongly disagree disagree agree strongly agree Why or Why not? Please Explain. Question Title * 7. I was treated with respect. strongly disagree disagree agree strongly agree strongly disagree disagree agree strongly agree Why or Why not? Please Explain. Question Title * 8. Where there any issues concerning the service you received or any kudos to be given regarding the service you received? Concerns Kudos No concerns or kudos Please Explain: Question Title * 9. I would recommend public health services to others. strongly disagree disagree agree strongly agree strongly disagree disagree agree strongly agree Why or Why not? Please Explain. Question Title * 10. Any other questions, concerns, comments? Thank you for your time! We are striving to improve the services we offer to residents of Meeker, McLeod and Sibley Counties. Done