Customer satisfaction is important to us. Please complete this brief survey to help us improve our services. You must have JavaScript enabled to use this form. Send Us A Message Name Phone Email Date of Service City You Live In How you found out about the services available at the Wayne County Health Department – please check all that apply Internet Radio Social Media Family or Friend Healthcare Provider School Workplace Prior Service Other Type of service(s) you received – please check all that apply Animal Bite investigation Birth/Death Certificate Emergency Prepardness Info Food safety inspection General information Home visit from nurse Illness investigation Other clinic sevices Other health education or training Other investigation or inpection Permitting/Licensing Project DAWN/Drug addiction Vaccinations Well or Sewage system inspection WIC Did you receive the services or written materials in the language you wanted?- None -YesNo If no, please list the language you wanted: If any educational materials were provided to you, were they helpful and able to be used as future references?- Select -Yes NoDoes not apply If you attended a training class taught by our staff, did the speaker keep your attention and allow for questions?- Select -YesNo Does not apply Services Please rate the following: Overall Experience Excellent Very Good Good Fair Poor Courtesy and professionalism of the service Excellent Very Good Good Fair Poor Timeliness of the service Excellent Very Good Good Fair Poor Age Gender Race/Ethnicity – please check all that apply African American/Black American Indian or Alaska Native Asian Caucasian/White HIspanic/Latino Native Hawaiian or Other Pacific Islander Other group Do you feel your race/ethnicity, values/beliefs, or sexual orientation affected how you were treated?- None -YesNo Have you received service from WCHD in the past?- None -YesNo Your comments or suggestions about how we can improve our service Submit
