HCHC Patient Satisfaction Survey
1.
Please check
all
of the services that you or your family members have received in the past year:
WIC
Received a Safe Crib
Received a Car Seat
Birth or Death Certificate
TB Test
Lab/Blood Work
Septic Permit
Free Condoms
Vaccine (Shot)
Nursing Services
Rabies Clinic for Your Pet
CPR Class
2.
Please let us know if you like our new building and location:
Prefer the old location
1 star
Don't care either way
2 stars
Like the new building and location
3 stars
Super happy with the new building and location
4 stars
The new place is the BEST!!!
5 stars
3.
What program or service would you like the Health Center to offer the community:
4.
Please rate the care and service you received at your last visit to HCHC:
Poor
1 star
Okay
2 stars
Good
3 stars
Fantastic
4 stars
5.
If you had any issues at your last visit with us please let us know what we can do to improve: