Survey/Form Review
Health Department Customer Comment
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| 1. What information or service were you seeking from the Health Department? Check all that apply. |
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| 2. Was the staff person(s) who helped you: |
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| 3. How would you rate the overall service you received? |
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| 4. Did you understand the information provided by staff? |
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| 5. To help us provide the best possible customer service, please provide the name of the person(s) who assisted you. |
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| 6. What could we have done better to provide additional or improved service? |
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| 7. Do you have any additional comments, information, or suggestions? |
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| 8. If you would like to discuss your experience, please provide the following information: |
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