Highland County Health Department

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HCHD Customer Satisfaction Survey

Question 1: What division of the Highland County Health District (HCHD) did you have contact with? (Check all that apply)

Administration- Birth and Death Records

Administration- Other

Environmental Health- Household Septic Systems, Private Water, Commercial Plumbing

Environmental Health- Food Safety

Environmental Health- Nuisance Complaints, Animal Bites, Other

Emergency Preparedness

Nursing- Immunizations

Nursing- Infectious Disease Reporting

Nursing- Care A Van

Nursing- Children for Medical Handicaps

Nursing- Covid-19

Nursing- Other

Something else that isn't listed? (please specify in follow-up question below)

If none of those options match your reason for contacting the health department, please, explain your reason for contacting us.

Question 2: What day did you receive services from the health department? *

YYYY

Question 3: Was your request handled respectfully, professionally, and promptly? *

Yes

Question 4: To what extent do you agree with the following statement? The HCHD staff was knowledgeable.

Strongly Agree

Agree

Neither Agree nor Disagree

Disagree

Strongly Disagree

Not Applicable

Clear selection

Question 5: Did you receive the information/resources/referral you needed?

Yes

Neither

Clear selection

Question 6: How satisfied were you with the time it took to receive your answers.

Very satisfied

Satisfied

Neither Satisfied nor Dissatisfied

Dissatisfied

Very Dissatisfied

Not Applicable

Clear selection

Question 7: How satisfied were you with the services that you received from the HCHD?

Very Satisfied

Satisfied

Neither Satisfied nor Dissatisfied

Dissatisfied

Very Dissatisfied

Not Applicable

Clear selection

Question 8: How did you hear about the Highland County Health Department and the services we offer?

Social Media

Website

Internet Search

Friends/Family

Agency Referral

Healthcare Provider (doctor's office, dentist, urgent care, etc.)

I am a returning client

Other (please specify in follow-up question below)

Clear selection

If option was not listed in Question 8, please specify how you heard about the Highland County Health Department and the services we offer.

Question 9: What additional services would you like the Highland County Health Department to offer?

Question 10: Is there anything else you would like to tell us about your experience at the Highland County Health Department?

Submit

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