Midland County Department of Public Health (MCDPH) Client Satisfaction Survey

1. What services did you use at the Midland County Department of Public Health (MCDPH)? (check any that apply) *This question is required.

Clinic Services (Immunizations, Reproductive Health, International Travel, etc.)
Environmental Health Services (Food, Septic, Water Well, etc.)
Community Health Services (Children's Special Health Care Services, Maternal Infant Health Program, Hearing/Vision, etc.)
List Other Please enter an 'other' value for this selection.

2. How did you learn about the services available at the Midland County Department of Public Health (MCDPH)? (check all that apply)
*This question is required.

MCDPH Website
MCDPH Facebook
Flyer/Brochure
Word-of-Mouth
Community Event
List Other Please enter an 'other' value for this selection.

3. How did you receive public health services from the Midland County Department of Public Health (MCDPH)? (check any that apply) *This question is required.

Scheduled an Appointment at the Health Department
Used Walk-in Services at the Health Department
Over the Phone- Called the Health Department
Received Services at a Location Other Than the Health Department (e.g. Community Vaccine Clinic, Home Visit, Community Event, Etc.)
E-mail
List Other Please enter an 'other' value for this selection.

4. It was easy to schedule an appointment.

4. How could we improve the appointment scheduling experience?

4. Please rate your experience with the following: *This question is required.

Space Cell	Satisfactory	Not Satisfactory	Not Applicable
Ease of Locating Health Department	Ease of Locating Health Department: Satisfactory	Ease of Locating Health Department: Not Satisfactory	Ease of Locating Health Department: Not Applicable
Accessibility of Health Department	Accessibility of Health Department : Satisfactory	Accessibility of Health Department : Not Satisfactory	Accessibility of Health Department : Not Applicable
Cleanliness of Health Department Waiting Room	Cleanliness of Health Department Waiting Room: Satisfactory	Cleanliness of Health Department Waiting Room: Not Satisfactory	Cleanliness of Health Department Waiting Room: Not Applicable
Comfort of Health Department Spaces	Comfort of Health Department Spaces: Satisfactory	Comfort of Health Department Spaces: Not Satisfactory	Comfort of Health Department Spaces: Not Applicable
Privacy	Privacy: Satisfactory	Privacy: Not Satisfactory	Privacy: Not Applicable
Length of Time Spent at Health Department to Complete Service(s)	Length of Time Spent at Health Department to Complete Service(s): Satisfactory	Length of Time Spent at Health Department to Complete Service(s): Not Satisfactory	Length of Time Spent at Health Department to Complete Service(s): Not Applicable
Professionalism of Staff	Professionalism of Staff: Satisfactory	Professionalism of Staff: Not Satisfactory	Professionalism of Staff: Not Applicable

5. How could we improve?

5. Rate the quality of the information you received during your visit:

Space Cell	Agree	Disagree	Not Applicable
Any forms that I filled out were easy to understand	Any forms that I filled out were easy to understand: Agree	Any forms that I filled out were easy to understand: Disagree	Any forms that I filled out were easy to understand: Not Applicable
MCDPH staff communicated information clearly during discussion	MCDPH staff communicated information clearly during discussion: Agree	MCDPH staff communicated information clearly during discussion: Disagree	MCDPH staff communicated information clearly during discussion: Not Applicable
Pamphlets, brochures, and/or flyers that I was given/offered were legible and easy to understand	Pamphlets, brochures, and/or flyers that I was given/offered were legible and easy to understand: Agree	Pamphlets, brochures, and/or flyers that I was given/offered were legible and easy to understand: Disagree	Pamphlets, brochures, and/or flyers that I was given/offered were legible and easy to understand: Not Applicable

6. How could we improve?

6. I would return to the Midland County Department of Public Health (MCDPH) in the future if I needed public health services. *This question is required.

7. What could we have done to improve your experience?

7. Did you experience any barriers to accessing services at the MCDPH? (check all that apply) *This question is required.

Transportation
Mobility Challenge(s)
Cost of Service(s)
Language
Appointment Availability
Work Schedule
Childcare
List Other Please enter an 'other' value for this selection.
No barriers

8. Is there anything else you would like to share about your experience?