Canton City Health Department
Client Satisfaction Survey - Nursing Division
Canton City Health Department
Phone: 330-489-3322

Your opinion matters! Please help us improve our services by completing this brief survey. When you are finished, click the Submit button at the bottom of the page. Thank you!

What date did you receive service at the Canton City Health Department?
What is your current Zip Code?
Your answer
Select which services you received from the Canton City Health Department Nursing Division (check all that apply):
The staff was helpful.
The hours of services met my needs.
The appointment process was handled in a timely manner.
The service provided was conducted in a professional manner.
The fees were reasonable.
Overall, I was pleased with the quality of service.
How did you hear about Canton City Health Department Nursing services? (check all that apply)
Your answer
I would like to be contacted about my visit.
Please provide your name and phone number or email address.
Your answer
Never submit passwords through Google Forms.
This form was created inside of Canton City Health District. Report Abuse - Terms of Service - Additional Terms