Feedback Form - Okeechobee County Health Department

Customer Feedback Form Please comment! We are extremely interested in receiving comments about our services so that we can continually improve them. All input received will be given careful consideration. What kind of comment would you like to send?
Suggestion	Problem	Praise

1. Were your phone calls handled promptly and politely?	Yes	No
2. Were the staff who worked with you polite and professional?	Yes	No
3. If you had an appointment, were you seen in a timely manner?	Yes	No
4. If you had questions were they answered in a professional manner?	Yes	No
5. Were facilities and equipment used during your visit in good working order?	Yes	No
6. Overall, were you satisfied with our services?	Yes	No
7. Select the reason for your visit or call to the health department
to obtain environmental health permits to obtain birth or death records to obtain WIC services for a clinic visit to find out about school readiness to obtain health records
Please tell us what you did or did not like about us in the space provided below: Please provide the following information if you want us to contact you.
Name:
E-mail:
Phone: (Please include Area Code)

This page was last modified on: 06/8/2007 10:05:20