Baltimore County Department of Health Customer Satisfaction Survey

Baltimore County Department of Health Customer Satisfaction Survey

Help improve Department of Health programs and services. Complete this survey about your recent experience. It will only take about five minutes to complete. Your responses will be confidential. No identifying information will be collected. Please select the service you have most recently received within the past 30 days. If you have received services from multiple programs, you can submit additional surveys.

Baltimore County Department of Health Customer Satisfaction Survey
Select your date of service or interaction with the Department of Health*

MonthDayYear
Date
Select which Baltimore County Department of Health program or service you have engaged within the past 30 days. If you have engaged with more than one program or service within the past 30 days, you may submit more than one survey to provide your feedback. *
Please select the specific Behavioral Health program*
Please select the specific Clinical and School Based Services Program*
Please select the specific Community Health Services Program*
Please select the specific Administration Program*

Baltimore County Department of Health Customer Satisfaction Survey

Dental Service
Which dental location did you receive services? *

Eastern Family Resource CenterLiberty Family Resource Center

Baltimore County Department of Health Customer Satisfaction Survey

Maternal Child Health Programs
Please specify which program*

Administrative Care Coordination Unit (ACCU)Babies Born HealthyEnhanced Healthy FamiliesHealthy Outcomes in Pregnancy and Early ChildhoodInfants and ToddlersLead and Asthma ProgramOther

Baltimore County Department of Health Customer Satisfaction Survey

WIC Services
Which WIC center did you visit? *

Baltimore Highlands- LansdowneEastern Family Resource CenterEssexDundalkReisterstownTowsonWoodlawn

Baltimore County Department of Health Customer Satisfaction Survey

Health Center
Which Health Center did you visit?*

Baltimore Highlands- LansdowneDundalkEastern Family Resource CenterEssexHannah MooreLiberty Family Resource CenterWoodlawn

Baltimore County Department of Health Customer Satisfaction Survey
Staff were knowledgeable. *
Staff treated me with respect.*
Staff took the time to listen to my concerns. *
I understood the information provided to me. *
My questions related to the services were answered. *
The wait time for the service was appropriate. *
Overall, I am satisfied with the program/services I received. *
Information was explained or provided in my preferred language.*

YesNo
If English is not your preferred language, please indicate your preferred language. (Note- If English is your preferred language, please skip this question.)
An interpreter was provided and was helpful to my understanding. (Note- If English is your preferred language, please skip this question.)

Baltimore County Department of Health Customer Satisfaction Survey

Additional Feedback
Please explain what we did well.
Please explain what we could do better.
Is there a staff member you would like to recognize for outstanding service? If so, please indicate their name.
Should be Empty: