Kenton Hardin Health Department General Satisfaction Survey Kenton Hardin Health Department - General Satisfaction Survey Please tell us about your recent experience with the Kenton Hardin Health Department (KHHD). Select the answer that best represents your response. OK Question Title * 1. What date did you receive service at/from the Kenton Hardin Health Department: Date / Time Date OK Question Title * 2. The service I received was: Nursing (Help Me Grow, BCMH, Immunizations, etc.) Car Seat Program Project DAWN Birth/Death Certificates Family Planning Violence & Injury Prevention/Prescription Drug Overdose Prevention Emergency Preparedness Environmental Services Other (please specify) OK Question Title * 3. Which environmental service did you receive? Animal Bite Investigation/Information Campground License/Inspection Food Service Consult/License/Inspection Mobile Home Park Inspection/License Recreational Camp Inspection/License Insect Investigation/Information Nuisance Complaint/Inspection Radon Consult Schools/Swimming pool/Spa Inspection Sewage System Inspection Sewage Treatment Permit Tattoo/Body Piercing License/Inspection Water System Inspection/Sample Well Permit Other (please specify) OK Question Title * 4. Please rate your level of agreement with the following statements: Strongly Disagree Disagree Neither Agree or Disagree Agree Strongly Agree N/A The staff was helpful The staff was helpful Strongly Disagree The staff was helpful Disagree The staff was helpful Neither Agree or Disagree The staff was helpful Agree The staff was helpful Strongly Agree The staff was helpful N/A The appointment was scheduled in a timely manner The appointment was scheduled in a timely manner Strongly Disagree The appointment was scheduled in a timely manner Disagree The appointment was scheduled in a timely manner Neither Agree or Disagree The appointment was scheduled in a timely manner Agree The appointment was scheduled in a timely manner Strongly Agree The appointment was scheduled in a timely manner N/A The service offered was professional The service offered was professional Strongly Disagree The service offered was professional Disagree The service offered was professional Neither Agree or Disagree The service offered was professional Agree The service offered was professional Strongly Agree The service offered was professional N/A Overall, I was pleased with the quality of service Overall, I was pleased with the quality of service Strongly Disagree Overall, I was pleased with the quality of service Disagree Overall, I was pleased with the quality of service Neither Agree or Disagree Overall, I was pleased with the quality of service Agree Overall, I was pleased with the quality of service Strongly Agree Overall, I was pleased with the quality of service N/A The fees were reasonable The fees were reasonable Strongly Disagree The fees were reasonable Disagree The fees were reasonable Neither Agree or Disagree The fees were reasonable Agree The fees were reasonable Strongly Agree The fees were reasonable N/A OK Question Title * 5. Please share any additional comments, suggestions or feedback about the service provided to you. OK Question Title * 6. How did you know to contact Kenton Hardin Health Department Friend/Family Doctor Billboard Brochure Newspaper Social Media Agency Referral Website Phone Book Radio Other (please specify) OK Question Title * 7. Have you had contact with Kenton Hardin Health Department before? Yes No OK Question Title * 8. In general, how would you rate Kenton Hardin Health Department Bad Not good, I was expecting more Not sure OK Great! Bad Not good, I was expecting more Not sure OK Great! OK Question Title * 9. I would like to be contacted about my service. Please reach me at the following phone number or email address (include your name): Name Email Address Phone Number OK Question Title * 10. Did you experience a language barrier while visiting the Kenton Hardin Health Department? If so, please let us know how we can help in the future. OK Your contact information is not required. If you would prefer your ratings remain anonymous but still would like to contact Kenton Hardin Health Department, please call 419-673-6230. OK DONE