Pike County General Health District Customer Satisfaction Survey
We would love to hear your thoughts or feedback on how we can improve your experience!
Sign in to Google to save your progress. Learn more
What was the date of your visit at PCGHD? *
What services did you receive on the date of your visit? *
How was the quality of the services you received today? *
Were you treated with respect and courtesy from the PCGHD staff? *
The staff at PCGHD was professional, knowledgeable, and competent about my situation. *
My situation was handled in a timely and efficient manner. *
Overall, were you pleased with the services you received here at the PCGHD today? *
If “No”, please explain below:
If you would like to be contacted about your experience today, please leave your name along with phone number or email.
How did you hear about the services that are available at PCGHD? *
Would you return to PCGHD for services? *
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy