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Satisfaction Survey of Public Health Services

  1. Services Received:*

    Please mark the service(s) you have received from the Public Health Division.

  2. The person who scheduled my appointment was pleasant, respectful, and helpful.*

  3. The wait time from check-in to when I was served was reasonable.*

  4. The appointment was helpful and informative.*

  5. I felt comfortable and respected during the appointment.*

  6. I felt I received the services I needed to help me achieve my own health goals.*

  7. I plan to return to use this service again in the future.*

  8. Please note the type of transportation you used to get to Public Health:*

  9. Leave This Blank:

  10. This field is not part of the form submission.