Public Health Customer Satisfaction Survey Question Title * 1. Grand Forks Public Health Customer Satisfaction Survey Strongly Disagree Disagree Neither Agree or Disagree Agree Strongly Agree N/A I received information or service that was helpful I received information or service that was helpful Strongly Disagree I received information or service that was helpful Disagree I received information or service that was helpful Neither Agree or Disagree I received information or service that was helpful Agree I received information or service that was helpful Strongly Agree I received information or service that was helpful N/A The service or information was clear and understandable The service or information was clear and understandable Strongly Disagree The service or information was clear and understandable Disagree The service or information was clear and understandable Neither Agree or Disagree The service or information was clear and understandable Agree The service or information was clear and understandable Strongly Agree The service or information was clear and understandable N/A The staff was polite The staff was polite Strongly Disagree The staff was polite Disagree The staff was polite Neither Agree or Disagree The staff was polite Agree The staff was polite Strongly Agree The staff was polite N/A The staff was knowledgeable The staff was knowledgeable Strongly Disagree The staff was knowledgeable Disagree The staff was knowledgeable Neither Agree or Disagree The staff was knowledgeable Agree The staff was knowledgeable Strongly Agree The staff was knowledgeable N/A I was served in a manner that was respectful of my cultural and language needs. I was served in a manner that was respectful of my cultural and language needs. Strongly Disagree I was served in a manner that was respectful of my cultural and language needs. Disagree I was served in a manner that was respectful of my cultural and language needs. Neither Agree or Disagree I was served in a manner that was respectful of my cultural and language needs. Agree I was served in a manner that was respectful of my cultural and language needs. Strongly Agree I was served in a manner that was respectful of my cultural and language needs. N/A Additional Comments OK If you would like to be contacted about this survey or a question in the comment section, please complete the contact information below. OK Question Title * 2. Contact Information (Optional) Name Address Address 2 City/Town State/Province -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP/Postal Code Email Address Phone Number OK DONE
