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Thank you for taking the time to provide feedback and help us to improve the San Bernardino County Department of Public Health. We review the content of all submissions and appreciate your willingness to provide constructive feedback on how we can improve the services we provide.

Which program or unit within the Department of Public Health best describes who you are providing feedback about?

Please rate how satisfied you are with each of the following during your recent experience with the San Bernardino County, Department of Public Health.

Please rate how satisfied you are with each of the following during your recent experience with the San Bernardino County, Department of Public Health.
	Don't Know / No Opinion	Very Dissatisfied	Somewhat Dissatisfied	Neither	Somewhat Satisfied	Very Satisfied
Overall Level of Satisfaction	Don't Know / No Opinion	Very Dissatisfied	Somewhat Dissatisfied	Neither	Somewhat Satisfied	Very Satisfied
Quality of Services	Don't Know / No Opinion	Very Dissatisfied	Somewhat Dissatisfied	Neither	Somewhat Satisfied	Very Satisfied
Timeliness	Don't Know / No Opinion	Very Dissatisfied	Somewhat Dissatisfied	Neither	Somewhat Satisfied	Very Satisfied
Communication	Don't Know / No Opinion	Very Dissatisfied	Somewhat Dissatisfied	Neither	Somewhat Satisfied	Very Satisfied

What can we do to improve the quality of your experience?

Would you like someone from our Department to follow up with you regarding your feedback?

Yes

No

NOTE: Please avoid providing any sensitive, personal health information in conjunction with your contact/identifying information.

Please provide us with your first name, last name, and best contact information (phone number and/or email address) below [e.g. John Smith, (###) ###-###, email@email.com].

Survey Completion
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