Public Input Survey 2014 The purpose of this survey is intended to find out how often county residents utilize the Franklin County Health Department's services and to help us improve when, how, and what services we offer. You do not need to put your name on this survey. Question Title * 1. Please check the area(s) in which you received service: Infant and child health Immunizations (Childhood and Adult) Pregnancy Care Management Maternal Health Community Care 4 Children (CC4C) Women, Infant and Children (WIC) Family Planning Adult Health Communicable Disease Control (STD, Tuberculosis (TB)) Health Education/Health Promotion Laboratory Services Dental Clinic Question Title * 2. Which of the following best describes your racial or ethnic background? Black White Asian Hispanic American Indian Other Question Title * 3. What is your age? 18 to 24 25 to 34 35 to 44 45 to 54 55 to 64 65 to 74 75 or older Other (please specify) Question Title * 4. What are some things that would make you more likely to visit the Franklin County Health Department? Extended Hours Receiving more information about the services the health department offers Same-day "call-in" appointments I think the health department should offer: Question Title * 5. Thinking of your visit, how would you rate the following? (Fill in only one box for each item) Poor Fair Good Excellent Privacy provided Privacy provided Poor Privacy provided Fair Privacy provided Good Privacy provided Excellent Length of wait time Length of wait time Poor Length of wait time Fair Length of wait time Good Length of wait time Excellent Quality of care provided Quality of care provided Poor Quality of care provided Fair Quality of care provided Good Quality of care provided Excellent Cleanliness of Health Department Cleanliness of Health Department Poor Cleanliness of Health Department Fair Cleanliness of Health Department Good Cleanliness of Health Department Excellent Bulletin Board/Educational Displays Bulletin Board/Educational Displays Poor Bulletin Board/Educational Displays Fair Bulletin Board/Educational Displays Good Bulletin Board/Educational Displays Excellent Directional Signs in the Building Directional Signs in the Building Poor Directional Signs in the Building Fair Directional Signs in the Building Good Directional Signs in the Building Excellent Done