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Survey Questions

  1. Price County Public Health is committed to providing its customers with the best services and quality. To assure we are doing the best we can, we ask that you complete this survey. All responses will remain anonymous.

    If you have any questions or concerns, please call Chelsea Onchuck, RN at 715-339-5308.

  2. How did you hear about the school based influenza vaccination clinic?

    Click all that apply

  3. What is your main method of receiving information on upcoming school events?

  4. How do you prefer completing consent forms?

  5. If you used the electronic consent form, did you find it easy to navigate?

  6. If consent forms were only electronic, would that stop you from participating in the vaccination clinic?

  7. Leave This Blank:

  8. This field is not part of the form submission.