Customer Service Survey
Please take a few minutes to answer the following survey questions. Your feedback is important to us!
Which division did you receive services from today?
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Food Protection
Environmental
Vital Records
Nursing/Clinical
Community Outreach
Tobacco Control
Health Education
Have you encountered any difficulties while utilizing our services?
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Yes
No
If yes, please provide details:
On a scale of 1-10, how satisfied are you with your service today?
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1
2
3
4
5
How likely are you to recommend our services to a friend or colleague?
*
Please Select
Very likely
Somewhat likely
Neutral
Somewhat unlikely
Very unlikely
What areas do you think we can improve on?
Please provide any additional comments or suggestions:
Submit
Should be Empty: