JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Brown County Public Health Customer Service Survey
Brown County Public Health strives to best serve the needs of the community. Please leave your honest opinion to the following questions. This survey is reviewed quarterly.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
What did you need help with today?
Licensing or inspection
COVID-19 Assistance
Vaccination or a health service
Community outreach or partnership
Other:
Clear selection
How were you treated during your interactions with Brown County Public Health?
*
I was treated very badly.
1
2
3
4
5
I was treated very well.
Did Brown County Public Health help you with what you needed?
*
I did not receive help.
1
2
3
4
5
My need was completely resolved.
Why did you give the ratings above?
*
Your answer
What can we do better in the future?
*
Your answer
Would you like someone from the public health management team to call you to talk more?
*
Yes
No
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
