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What is your 5 digit ZIP Code?
Where did you receive service?
Pontiac Office
Southfield Office
Home / Property
Business / Workplace
Over the phone/Video Conference
Event
Other
What services did you receive?
(Check all that apply)
Communicable Disease or Foodborne Illness (Reporting, Investigation, Consultation)
Clinic Service (Communicable Disease Test, Pregnancy Test, STD Test, Immunizations, Tuberculosis)
Food Service/Body Art (Inspection, Plan Review, Licensing, Manager/Basic Food Safety Class)
Health Education (Health Fair, Presentation, Car Seat Check)
Hearing and Vision (Screening, Consultation)
Nursing Home Visit
Nurse on Call (800-848-5533)
Nutrition Home Visit
Well/Septic/Pool (permitting, water sampling, inspections, septic installer class)
Women, Infants, and Children (WIC)
Other
Please indicate if you agree or disagree with each of the following statements:
Please indicate if you agree or disagree with each of the following statements:
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I was satisfied with my service.
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The wait time for the service(s) I received was appropriate. How long was your wait time? (Minutes)
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Staff was friendly.
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Staff was respectful.
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Resources met my physical and cultural needs
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Neither agree or Disagree
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