How are we doing?
Your comments help Public Health improve the services we provide.
Please rate the services you received or event attended
Excellent
Very Good
Good
Fair
Poor
Does not apply
Please tell us why:
The Health Department's hours of operation are Monday - Friday 8:30am-5:00pm. Are these hours of operation convenient for your needs?
Excellent
Very Good
Good
Fair
Poor
Does not apply
If not, what hours and days would be better?
Would you recommend this service or event to other people?
Yes
No
Not Sure
Please share why you chose your answer
Please identify what service you received today: (Check all that apply)
Adult Health
TB (Tuberculosis)
Family Planning
Lab
Maternity
Pharmacy
School Health
Environmental Health
Dental
Nutrition
Health Education
Vital Records
Pregnancy Care Management
Care Coordination for Children
Immunizations
Other
Is there a staff member that you would like to recognize? If so, please provide their name below.Is there a staff member that you would like to recognize? If so, please provide their name below.
In case we would like further information to respond to your comments, please provide your contact information. (This information will not be shared outside of this survey)
First Name
Last Name
Address
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City
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Email
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Phone Number
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