How Are We Doing Date of Service Location of Service -选择-Central Regional Health Ctr. 315 S. 尤蒂卡詹姆斯O. Goodwin Regional Health Ctr. 5051 S. 129 East Ave.North Regional Health and Wellness Ctr. 5635 N. Martin Luther King, Jr. 大街.Sand Springs Health Ctr. 306 E. 百老汇Bixby Health Ctr. 8120 E. 126th StreetCollinsville Health Ctr. 1201 W. CenterMingo 每各月 Clinic 9924 E. 21圣.South 皮奥瑞亚 每各月 Clinic 6831 S. 皮奥瑞亚其他 Service Received -选择-Adult health (health screenings/well women)Adult immunizationsAudiology (hearing screenings)Child Guidance (child development support/classes)Childhood immunizationsChildren First (home visiting nurse)Dental clinicEnvironmental lab (water testing, air quality, housing & nuisance abatement)Family planning (birth control, exams, pregnancy testing)Food handler classHealthy StartHuman resources (job posting, recruiting)Overseas immunizationsRestaurant inspectionsSocial work/外展STD (testing/counseling for sexually transmitted diseases)Tuberculosis (TB) testingVital records (birth and death certificates)每各月 (Women, Infants and Children) food vouchers, nutrition education其他 If other, please explain 评论 Please read each question below and select the answer that best describes your experience. How would you rate your satisfaction with the information or services you received? Very 满意 满意 Neither 满意 nor Dissatisfied Dissatisfied Very Dissatisfied I got the information or service that I needed. Strongly 同意 同意 Neither 同意 nor 不同意 不同意 Strongly 不同意 The service or information was clear and understandable. Strongly 同意 同意 Neither 同意 nor 不同意 不同意 Strongly 不同意 The staff was friendly and polite. Strongly 同意 同意 Neither 同意 nor 不同意 不同意 Strongly 不同意 The staff was well informed. Strongly 同意 同意 Neither 同意 nor 不同意 不同意 Strongly 不同意 The staff was helpful. Strongly 同意 同意 Neither 同意 nor 不同意 不同意 Strongly 不同意 Service was provided in a timely manner. Strongly 同意 同意 Neither 同意 nor 不同意 不同意 Strongly 不同意 I felt that the THD location that I visited was easy to locate. Strongly 同意 同意 Neither 同意 nor 不同意 不同意 Strongly 不同意 I felt that the THD location that I visited was well maintained. Strongly 同意 同意 Neither 同意 nor 不同意 不同意 Strongly 不同意 May we contact you? -无-是的No Please leave your name, address, phone number or e-mail address if you want us to respond to your comments. 名字 Address Address 地址2 城市/城镇 State/Province -无-阿拉巴马州阿拉斯加American Samoa亚利桑那州阿肯色州Armed Forces (Canada, Europe, Africa, or Middle East)Armed Forces AmericasArmed Forces PacificCalifornia科罗拉多州Connecticut特拉华州District of ColumbiaFederated States of Micronesia佛罗里达乔治亚州关岛夏威夷爱达荷州伊利诺斯州印第安纳州爱荷华州堪萨斯肯塔基州路易斯安那州缅因州Marshall Islands马里兰Massachusetts密歇根明尼苏达州Mississippi密苏里州蒙大拿内布拉斯加州内华达New Hampshire新泽西New Mexico纽约North CarolinaNorth DakotaNorthern Mariana Islands俄亥俄州俄克拉何马州俄勒冈州帕劳PennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth Dakota田纳西州德州犹他州佛蒙特州Virgin Islands维吉尼亚州WashingtonWest 维吉尼亚州威斯康辛州怀俄明 ZIP/Postal Code Phone Number Email Address
