Grundy County Health Department Client Satisfaction Survey
Please answer the following questions about your recent visit to the Grundy County Health Department. Leave your name, email and phone number if you'd like to be entered in our quarterly drawing.
Date of Service
MM
/
DD
/
YYYY
Are you a Grundy County Resident?
Clear selection
What service did you receive?
Clear selection
How would you rate the friendliness of the GCHD staff?
Was the staff courteous and respectful? Were your questions answered?
Not friendly
Very friendly
Clear selection
How would you rate the GCHD facility?
Was the facility clean and welcoming? Was everything in working order? Were the restrooms clean?
Unsatisfactory
Excellent
Clear selection
How would you rate the quality of the service you received?
Was the staff knowledgeable and professional?
Unsatisfactory
Excellent
Clear selection
How would you rate the efficiency of the service you received?
Were you greeted quickly? Did you wait long for service?
Not efficient
Very efficient
Clear selection
We welcome your comments!
Would you like to be entered in our quarterly drawing?
Clear selection
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