We realize that in order to provide you, our
customer, with the best possible service, we need to take your opinions
and needs into consideration. This is an anonymous survey, so please
provide us with your honest opinion. Thank you for taking the time to help
us improve our customer service.
Select the area(s) that provided
you information or services and rate your experience below. If none,
skip to the comments section.
Breast and Cervical cancer Early Detection Program
Communicable Disease Control and Prevention
Family Planning
Immunizations
Obstetrics and Improved Pregnancy Outcome
Tuberculosis
Dental
Environmental Health
School Health
Tobacco Prevention Program
Community Health Education and Promotion Program
Healthy Start
Healthy Families
Administration
WIC
Vital Statistics and Medical Records
Strongly Agree
Agree
Neither Agree or Disagree
Disagree
Strongly Disagree
I got the information or service that I needed.
The information or service was clear and understandable.
The staff was helpful.
The staff was friendly and polite.
The staff was well informed.
I was served in a timely manner.
Overall, how would you rate your
satisfaction with the information or services you received?
Your comments are important; they can tell us specifically what you
like about our service and how we can improve to better serve you.
Please provide the following information if you would like us to contact
you. * Under Florida law, e-mail addresses are public records. If you do
not want your e-mail address released in response to a public records
request, do not send electronic mail to this entity. Instead contact
this office by phone or in writing.
Name:
*E-mail:
Phone:
(Please
include Area Code)
48 Oak Street
Crawfordville, FL 32327
(850) 926-0400
Under Florida law, e-mail addresses are public
records. If you do not want your e-mail address released in response to
a public records request, do not send electronic mail to this entity.
Instead, contact this office by phone or in writing.
