Dawson County Health Department
In an effort to make our services better, please take a few minutes to let us know if the services at the Dawson County Health Department have been beneficial to you and how we can improve what we do to better meet your needs.
How did you hear about our services?
Hospital
WIC
Nurse
Office of Public Assistance
Dept. of Family Services
From a friend
Doctor
Newspaper
Online
Child Care Resource or Referral
Other, please specify __________________
Which services have you used?
Public Health visits
Well Child checkups
Family Planning
Blood Pressure
Tobacco Programs
Home Health
HIV Services
Immunizations
WIC
Pregnancy Services
Lab Draws
Other __________________
Have you received information or printed materials from the health department?
Yes
No
Were they helpful?
Yes
No
Would you recommend the health department to a friend?
Yes
No
Are you pregnant?
Yes
No
Do you have children?
Yes
No
How old are your children?
Which services offered by the health department are most beneficial to you?
Please check the box that best shows how much you agree or disagree on the following statements:
The health department staff was respectful of my time
Not at all
Sometimes
Most times
Always
The staff was respectful of my family values
Not at all
Sometimes
Most times
Always
The staff was knowledgeable and answered my questions
Not at all
Sometimes
Most times
Always
The staff connected me to other services I did not know about
Not at all
Sometimes
Most times
Always
Overall the health department was helpful to me
Not at all
Sometimes
Most times
Always
These are things I would like to see the health department do to provide better services:
Other comments:
Submit
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