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2. Thank you for taking a couple minutes to share your experience with us. Your feedback is important and we value and appreciate receiving your compliments, suggestions or complaints about us so we can improve our services and the way we communicate.
4. Is your feedback regarding an online or in person/over the phone experience?*

   1. Online
   2. In Person or Over the Phone
6. Reason for visit

   1. Food Business
   2. Septic/Well
   3. Birth or Death Certificates
   4. Billing
   5. WIC
   6. Clinic Visit
   7. Other
8. Please specify:
10. How would you rate the courtesy of the Snohomish County Health Department staff?

    1. Very Good
    2. Good
    3. Average
    4. Poor
12. What did you think of the knowledge or skill of the Snohomish County Health Department staff?

    1. Very Good
    2. Good
    3. Average
    4. Poor
14. What is your level of satisfaction of the service or product provided?

    1. Very Good
    2. Good
    3. Average
    4. Poor
16. Have you been to or received services from the Snohomish County Health Department before?

    1. Yes
    2. No
18. How does the service compare to your previous visit?

    1. Better
    2. Worse
    3. Same
20. How easy was it to navigate the website?

    1. Very easy
    2. Easy
    3. Average
    4. Difficult
22. What did you find particularly difficult when navigating our website?
24. Did you create or submit an application during your visit?

    1. Yes
    2. No
26. How would you rate the application process?

    1. Very good
    2. Good
    3. Average
    4. Poor
28. What do you think could be improved with the current process?
30. How did you find out about our online services? (Check all that apply)

    1. Snohomish County Health Department Staff Member
    2. Googled, or other Website
    3. Word of Mouth
    4. Other
32. Please specify:
34. Have you visited us online before?

    1. Yes
    2. No
36. How does the service compare to your previous visit?

    1. Better
    2. Worse
    3. Same
38. Do you have any other comments or suggestions?
40. If you would like to be contacted regarding your feedback, please enter your contact information below.
42. Name
43. Phone Number
45. Email Address
Leave This Blank:


47. Submit

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