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SCHD Client Satisfaction Survey

Thank you for choosing the Saginaw County Health Department. In order to continuously improve the services we provide, we kindly ask that you complete the following survey. The survey will only take a few minutes of your time. The responses you provide will be confidential. For each question please select the answer that best represents your response. If you have any questions about the survey, please contact (989) 758-3813.

We thank you in advance for your valuable feedback.

1. During your most recent visit with the Saginaw County Health Department, what program/service did you receive?

2. Where did you learn about our available services?

Please enter an 'other' value for this selection.

3. Where did you receive your service?

Please enter an 'other' value for this selection.

4. Please indicate if you agree or disagree with each of the following statements. If you disagree with any statements below, please provide a comment under questions 8 on how we can improve.

Space Cell	Strongly Agree	Agree	Somewhat Agree	Somewhat Disagree	Disagree	Strongly Disagree	N/A
My appointment or check-in process was smooth and efficient	My appointment or check-in process was smooth and efficient: Strongly Agree	My appointment or check-in process was smooth and efficient: Agree	My appointment or check-in process was smooth and efficient: Somewhat Agree	My appointment or check-in process was smooth and efficient: Somewhat Disagree	My appointment or check-in process was smooth and efficient: Disagree	My appointment or check-in process was smooth and efficient: Strongly Disagree	My appointment or check-in process was smooth and efficient: N/A
My interactions with the staff were good	My interactions with the staff were good: Strongly Agree	My interactions with the staff were good: Agree	My interactions with the staff were good: Somewhat Agree	My interactions with the staff were good: Somewhat Disagree	My interactions with the staff were good: Disagree	My interactions with the staff were good: Strongly Disagree	My interactions with the staff were good: N/A
I was provided great customer service by staff	I was provided great customer service by staff: Strongly Agree	I was provided great customer service by staff: Agree	I was provided great customer service by staff: Somewhat Agree	I was provided great customer service by staff: Somewhat Disagree	I was provided great customer service by staff: Disagree	I was provided great customer service by staff: Strongly Disagree	I was provided great customer service by staff: N/A
My wait time was appropriate	My wait time was appropriate: Strongly Agree	My wait time was appropriate: Agree	My wait time was appropriate: Somewhat Agree	My wait time was appropriate: Somewhat Disagree	My wait time was appropriate: Disagree	My wait time was appropriate: Strongly Disagree	My wait time was appropriate: N/A
The service(s) I received met my cultural needs	The service(s) I received met my cultural needs: Strongly Agree	The service(s) I received met my cultural needs: Agree	The service(s) I received met my cultural needs: Somewhat Agree	The service(s) I received met my cultural needs: Somewhat Disagree	The service(s) I received met my cultural needs: Disagree	The service(s) I received met my cultural needs: Strongly Disagree	The service(s) I received met my cultural needs: N/A
The service(s) I received accommodated my special needs	The service(s) I received accommodated my special needs: Strongly Agree	The service(s) I received accommodated my special needs: Agree	The service(s) I received accommodated my special needs: Somewhat Agree	The service(s) I received accommodated my special needs: Somewhat Disagree	The service(s) I received accommodated my special needs: Disagree	The service(s) I received accommodated my special needs: Strongly Disagree	The service(s) I received accommodated my special needs: N/A
The physical space/clinic was clean and inviting	The physical space/clinic was clean and inviting: Strongly Agree	The physical space/clinic was clean and inviting: Agree	The physical space/clinic was clean and inviting: Somewhat Agree	The physical space/clinic was clean and inviting: Somewhat Disagree	The physical space/clinic was clean and inviting: Disagree	The physical space/clinic was clean and inviting: Strongly Disagree	The physical space/clinic was clean and inviting: N/A
I would recommend the Health Department to my friends and family.	I would recommend the Health Department to my friends and family.: Strongly Agree	I would recommend the Health Department to my friends and family.: Agree	I would recommend the Health Department to my friends and family.: Somewhat Agree	I would recommend the Health Department to my friends and family.: Somewhat Disagree	I would recommend the Health Department to my friends and family.: Disagree	I would recommend the Health Department to my friends and family.: Strongly Disagree	I would recommend the Health Department to my friends and family.: N/A
Overall, I am satisfied with the service I received today.	Overall, I am satisfied with the service I received today.: Strongly Agree	Overall, I am satisfied with the service I received today.: Agree	Overall, I am satisfied with the service I received today.: Somewhat Agree	Overall, I am satisfied with the service I received today.: Somewhat Disagree	Overall, I am satisfied with the service I received today.: Disagree	Overall, I am satisfied with the service I received today.: Strongly Disagree	Overall, I am satisfied with the service I received today.: N/A

5. Did Health Department staff give you information during today's visit about other services for which you might be eligible?

6. Did anyone provide outstanding service? If so, whom?

7. What did we do well during your visit?

8. What can we improve? (please be specific)

The following optional questions ask for basic demographic information pertaining to the person that received service(s). Your answers to these questions will not affect the service(s) you receive in any way.

9. What sex were you assigned at birth, on your original birth certificate?

10. What is your current age?

11. What is your race/ethnicity? (check all that apply)

Please enter an 'other' value for this selection.

12. What type of insurance do you have?

Please enter an 'other' value for this selection.

13. What is your zip code?

Please enter an 'other' value for this selection.

14. How did you arrive at Saginaw County Health Department?

Please enter an 'other' value for this selection.

Thank you again for your valuable feedback!