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LTDHD Customer Satisfaction Survey

Customer Satisfaction Survey

Tell us how we are doing!
1. In which county did you receive services?
2. Which services did you receive? (Check all that apply) *This question is required.
3. Use stars to help us see where we need a little improvement to serve you better.  *This question is required.
Space Cell 1= Very Bad; 5= Excellent
Courtesy of the staff
Ease of scheduling
Likelihood of recommending us to others.
Staff concern for your problem.
Rate us overall.
4. How did you hear about our services at Lincoln Trail District Health Department? *This question is required.
6. Would you like to be contacted by a staff member to discuss your responses? *This question is required.
If yes, please list your name and contact information.
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