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.

Choose One: *

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

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Last Name

Email

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Georgia Coastal Health District

Customer Satisfaction Survey