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Customer Satisfaction Survey
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1.
Overall, how satisfied or dissatisfied are you with the services of the Noble County Health Department?
(Required.)
Very satisfied
Somewhat satisfied
Neither satisfied nor dissatisfied
Somewhat dissatisfied
Very dissatisfied
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2.
Which of the following words would you use to describe our services? Select all that apply.
(Required.)
Reliable
Personalized
Useful
Convenient
Friendly
Flexible
Slow
Ineffective
Hard to obtain
Unreliable
Not for Me
Unprofessional
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3.
How well do our services meet your needs?
(Required.)
Extremely well
Very well
Somewhat well
Not so well
Not at all well
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4.
How would you rate the quality of the service?
(Required.)
Very high quality
High quality
Neither high nor low quality
Low quality
Very low quality
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5.
When was the last time you received services from the health department?
(Required.)
Within 6 months
6 months to 1 year
1 - 2 years
Over 2 years
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6.
How long have you received services from the health department?
(Required.)
This is my first time
Less than 1 year
1 - 2 years
2 - 5 years
Over 5 years
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7.
How likely are you to return for services again?
(Required.)
Extremely likely
Very likely
Somewhat likely
Not so likely
Not at all likely
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8.
How likely is it that you would recommend the health department to a friend or colleague?
(Required.)
Extremely likely
Very likely
Somewhat likely
Not so likely
Not at all likely
9.
Please briefly describe the interactions with the health department that led you to the answers above. If you would like to be contacted, leave your name and phone number.
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10.
Which health department programs/services have you used? (Check all that apply)
(Required.)
Environmental Health
Vital Statistics (Birth/Death Records)
Nursing Services
Help Me Grow/Early Head Start
WIC
Other
11.
Do you have any other comments, questions, or concerns?
Current Progress,
0 of 11 answered