Customer Satisfaction Template

Question Title

* 1. How likely is it that you would recommend Stone County Health Department to a friend or colleague?

NOT AT ALL LIKELY

EXTREMELY LIKELY

0

1

2

3

4

5

6

7

8

9

10

0

1

2

3

4

5

6

7

8

9

10

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* 2. Overall, how satisfied or dissatisfied are you with Stone County Health Department?

Very satisfied

Somewhat satisfied

Neither satisfied nor dissatisfied

Somewhat dissatisfied

Very dissatisfied

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* 3. How would you rate the quality of our customer service?

Very high quality

High quality

Neither high nor low quality

Low quality

Very low quality

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* 4. What service/services would you like Stone County Health Department to provide?

Question Title

* 5. What do you think the top health concern in Stone County is?

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* 6. How long have you been utilizing Stone County Health Departments services?

This is my first time utilizing Stone County Health Departments services

1-5 years

5-10 years

10 or more years