Customer Satisfaction Survey

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How was your visit with the Georgia Coastal Health District?

We want to hear from you. Please take a moment to complete our customer satisfaction survey.

Thank you!

In which Coastal Health District county were you served? *

What specific health department, clinic, or office did you visit in that county? *

What was the reason for your visit? *

If you selected "Other" as your reason for visit, please explain:

Was your visit a walk-in visit or appointment? *

Once you arrived, about how long did you have to wait before being seen?

Was the front desk staff you encountered friendly, helpful, and respectful?

If you answered "No," please explain.

Was the clinical/nursing or other staff you encountered friendly, helpful, and respectful?

If you answered "No," please explain.

Did you receive good advice, information, or treatment?

If you answered "No," please explain.

Please rate your overall experience on a scale from 1-10, with 1 being completely unsatisfied and 10 being completely satisfied.

Choose One: *

Comment Box: please include all suggestions, comments, or complaints.

May we contact you? If so, please provide the following:

First Name

Last Name

Phone

Georgia Coastal Health District