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Patient Satisfaction Survey
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Which clinic did you or your child visit today?
STD (Statesville Location)
Immunizations (Statesville Location)
Immunization (Mooresville Location)
WIC (Statesville Location)
WIC (Mooresville Location)
How did you find out about us?
Class at school
Health Fair/ Community Presentation
Family member, friend, or co-worker
Health Department brochure
Other Health Department Clinic
I have used this service before
Doctor or worker in hospital
Was the staff polite and professional
How was the length of your visit today?
Was the waiting area and exam room clean and in good condition?
Exam room was dirty
Waiting room was dirty
Overall, were you satisfied with your visit today?
Please share any comments or suggestions about what we can do better
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