Customer Evaluation of Services
1.
How did you hear about Kenton-Hardin Health Department (KHHD)?
Family member, friend, or a colleague
Referral from another agency/organization, 2-1-1, or other resource directory
Advertisement (Example: Billboard, Paper Flyer, or KHHD Brochure)
KHHD Website or Facebook Page
Other (please specify)
2.
Do you live in Hardin County?
Yes
No, in which Ohio county do you live?
3.
Is it easy for you to access our Health Department and our services?
Yes
Sometimes
No
4.
Do you feel confident that you are aware of all of the services that KHHD provides?
Yes
No
I'm aware of some of the services that are provided.
Other (please specify)
5.
Are you aware that we offer audio and video language translation services to accommodate the needs of our community?
Yes
No
6.
Have you utilized any of our nursing services before (Including receiving a vaccination and/or Tuberculosis test, received a hearing and/or vision screening, received a Blood Pressure screening, received a pack and play, received education or information on a health topic, and/or other service)?
Yes
No
7.
Have you utilized any of our Integrated Harm Reduction Services (including receiving a Naloxone kit and education about administering the Naloxone to a person in need, Fentanyl testing supplies, and/or other services.
Yes
No
8.
Have you ever had our certified car seat technician inspect and/or install a car seat in your car?
Yes
No
9.
Have you ever received a birth certificate for you or a family member from our health department?
Yes
No
10.
Have you utilized any of our services within the last 12 months?
Yes
No
11.
If you have utilized our services within the last 12 months, did we meet your expectations?
5: Exceed your expectations
4: Met your expectations
3: Somewhat met your expectations
2: Did not meet your expectations
1: Much improvement is needed in order for us to meet your expectations in the future.
Comments:
12.
Do you feel safe receiving a vaccine or TB test from our nursing staff?
5. Very Safe
4. Safe
3. Somewhat Safe
2. Feel Unsafe
1. Feel Very Unsafe
13.
Do you feel safe dining at and/or picking up food from Hardin County restaurants knowing that our Environmental Health staff perform food inspections at the restaurants?
5. Very Safe
4. Safe
3. Somewhat Safe
2. Feel Unsafe
1. Feel Very Unsafe
14.
Do you feel safe swimming in public pools in Hardin County knowing that our Environmental Health staff perform pool inspections?
5. Very Safe
4. Safe
3. Sometimes Safe
2. Feel Unsafe
1. Feel Very Unsafe
15.
Which services do you feel that Kenton-Hardin Health Department performs well?
16.
Which services do you feel that our health department should perform better?
17.
What new programs should we offer?
18.
Feel free to leave any additional comments. Thank you for your time and feedback.
