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Health Website Satisfaction Survey

Department of Behavioral & Community Health

 

 

Health Website Satisfaction Survey

 

* Indicates Required Field


What information have you attempted to locate by visiting the DCDOH Website? *



(Max. No. of Characters: 1,000)

 

Were you able to find this information? *

 

Approximately how many times have you used/visited this Website? *

 

What difficulties or frustrations have you encountered in using this Website? (Optional)


(Max. No. of Characters: 1,000)

 

Please enter additional remarks or comments, if desired. (Optional)


(Max. No. of Characters: 1,000)

 

________________________________________

 

Demographic and Personal Information
The following fields are OPTIONAL

Age:


Gender:


Race/Ethnicity:


Dutchess County Resident? (If Yes, please enter your Zip Code)  Yes


Name:  

Street Address:  

City/Town/Village:     State:

Zip Code:

Email:

Telephone

 

*** Enter the following number in the box below before submitting your Survey:      ***

 

A. K. Vaidian, MD, MPH,Commissioner of Behavioral & Community Health A. K. Vaidian, MD, MPH
Commissioner of Behavioral & Community Health
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