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Shannon County Health Center
Satisfaction Survey

Please answer the following questions about your recent visit to the Shannon County Health Center.

What services did you receive when you last visited the Shannon County Health Center (SCHC)

Immunizations

Health Education

Diabetes Class

Public Health Screenings (Blood Pressure, Blood Sugar, Hemoglobin, etc.)

WIC Services

Water Test Kits

Lead Testing

TB Testing

Diapers/Wipes

Free Closet

Narcan Distribution

Birth/Death Certificates

Lab Services

Injections (B12 or other)

I had questions that needed answering

Other

*Check all that apply*

Other Services Received

Date of last visit to SCHC

MM slash DD slash YYYY

How would you rate the friendliness of the Shannon County Health Center staff? Were they courteous and respectful? Were your questions answered?

1

2

3

4

5 (Excellent)

Tell us about your most recent visit to SCHC

How would you rate the Shannon County Health Center facility? Was the facility clean and welcoming? Was everything in working order? Were the restrooms clean?

1

2

3

4

5 (Excellent)

How would you rate the quality of the service you received? Were staff knowledgeable and professional?

1

2

3

4

5 (Excellent)

How would you rate the efficiency of the service you received? Were you greeted quickly? Did you wait long for service?

1

2

3

4

5 (Excellent)

Would you like to leave any comments or suggestions on how the Shannon County Health Center can better serve our community?

What services would you like to see offered at SCHC?

What are the main health concerns you have for our community?

Have you experienced any difficulties accessing health services at SCHC?

Yes

No

Please describe the difficulties you had accessing services.

What barriers do you have in participating in currently offered services?

What types of outreach activities would you like to see offered by SCHC?

Health Fairs

Health Education/Classes

Mobile Vaccine Clinics

Mobile WIC Clinics

Blood Pressure, A1C, Blood Sugar Check Events

Other

What other outreach activities would you like to see?

Would you like to nominate any SCHC staff member for recognition?

Comments

This field is for validation purposes and should be left unchanged.

HOURS

7:30am - 4pm Monday thru Friday
Open until 6:00 pm the first Tuesday of the month

(toll-free) 800-777-3915 or 573-226-3914

18018 Grey Jones Drive, Eminence, MO 65466
P.O. Box 788, Eminence, MO 65466

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facebook

Looking for In-Home Services? Our agency helps aging residents stay in their homes longer. Learn more »

Home
- About Us
Public Health Services
In-Home Services
Vital Records
Resources
Contact Us

facebook