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Customer Comment Form

  1. Is your feedback regarding an online or in person/over the phone experience?*

  2. Reason for visit

  3. How would you rate the courtesy of the staff?

  4. What did you think of the knowledge or skill of the staff?

  5. What is your level of satisfaction of the service or product provided?

  6. Have you been to or received services from the Snohomish Health District before?

  7. How does the service compare to your previous visit?

  8. How easy was it to navigate the website?

  9. Did you create or submit an application during your visit?

  10. How would you rate the application process?

  11. How did you find out about our online services? (Check all that apply)

  12. Have you visited us online before?

  13. How does the service compare to your previous visit?

  14. If you would like to be contacted regarding your feedback, please enter your contact information below.

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