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How Did We Do?

  1. Please enter the date you received health department services.

  2. 2. What services did you have today?*

  3. 3. Were you able to get the information you needed?

  4. 4. The courtesy of staff was...

  5. 5. The quality of staff was...

  6. 6. The promptness of services was...

  7. 7. Based on my experience overall, I am...

  8. 9. Do you have something that you would like to discuss with us?

  9. 10. Would you like to recognize a staff personal for exceptional service?

  10. Leave This Blank:

  11. This field is not part of the form submission.