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GRDHD Patient Satisfaction Survey - WIC

This survey will help us better understand your needs and improve services.  All response will be kept confidential and anonymous.  
1. Which WIC Clinic did you visit?
2. Please check the reason for your WIC visit: 
3. Did you have any issues getting here today? 
3. How satisfied were you with the amount of time spent in the waiting room?
Very DissatisfiedDissatisfiedNeutralSatisfiedVery Satisfied
3. How satisfied were you with the amount of time spent with the provider? 
Very DissatisfiedDissatisfiedNeutralSatisfiedVery Satisfied
4. How satisfied were you with our staff?
Very DissatisfiedDissatisfiedNeutralSatisfiedVery Satisfied
5. How did you hear about Green River District Health Department Services?  *This question is required.
6. How satisfied were you with the overall experience? 
Very DissatisfiedDissatisfiedNeutralSatisfiedVery Satisfied
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