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pdfOMB CONTROL NUMBER: 1090-0011
EXPIRATION DATE: 8/31/2018
NPS Office of Public Health (OPH) Customer Service Survey
(On and Off-site survey)
PAPERWORK REDUCTION ACT STATEMENT: The National Park Service is authorized by 54 USC 100702 to collect this
information. This information will be used to understand respondents’ opinions on the work of the Office of Public Health.
Responses to this request are voluntary and anonymous. Your name will not be associated with your answers. No action may
be taken against you for refusing to supply the information requested. An agency may not conduct or sponsor, and a person is
not required to respond to, a collection of information unless it displays a currently valid OMB control number.
BURDEN ESTIMATE STATEMENT: Public reporting burden for this collection is estimated to be 3 minutes per response. Direct
comments regarding the burden estimate or any other aspect of this collection to: CAPT Sara Newman 1201 I Street, NW
Washington, DC 20005. [email protected]
The National Park Service (NPS) Office of Public Health (OPH) continually strives to increase the value
of our services to the NPS and partners. As a customer of this service your input is very important.
Please take a few minutes of your time to answer the following survey questions.
1. Was your encounter with the NPS OPH related to: ____________________
On-site visit
Off-site visit (i.e., email, phone, text, fax, etc.)
Partnerships
Response (emergency
Science
NOTE: the next question will only be asked if the responded select on-site visit as a response to Q1
above otherwise all other responses will be automatically directed to Q 2 below.
*** What was the most important benefit of the site visit? (Select up to three choices)
Opportunity to discuss issues face-to-face with a public health professional
Positive reinforcement provided to staff
Assistance in determining problem areas before they become major violations
Technical assistance
Increased awareness of public health issues among park leadership
Written final report
Other Benefits? (please specify)
2. What was the intended focus of your contact with the OPH? (check all that apply)
Backcountry Operations
Diseases
Drinking Water Supply Systems
Food Safety and Sanitation
Health Promotions/ Healthy Parks Healthy People
Personnel Services
Recreational Waters
Wastewater Treatment Systems
Other purpose of contact?
3. Please rate the person who assisted you on the following attributes:
Courteous Service
Professionalism
Responsiveness/Response
Time
Knowledge of the Problem
Very
Good
Good
Fair
Poor
Very
Poor
Unable
to Rate
4. What could the OPH Representative do to improve his/her service?
5. What subject areas do you value most from the OPH? (select all that apply)
Backcountry Operations
Diseases
Drinking Water Supply Systems
Emergency Response
Food Safety and Sanitation
Health Promotions/ Healthy Parks Healthy People
Partnerships
Personnel Services
Recreational Waters
Science
Wastewater Treatment Systems
Other Services (please specify)?
6. Are there additional services the OPH could provide to serve the parks better? If so, what are
they?
7. Please rate your overall satisfaction with the NPS OPH service provided.
Very
Satisfied
Somewhat
Satisfied
Neutral
Somewhat
Dissatisfied
Very
satisfied
Unable to
Rate
8. Please tell us how you are affiliated with the program. This will be used to assist us in
understanding the groups we serve.
NPS
NPS Regional Office or Park
Program Area
Partners
Community Affiliation
Program Area
9. Please provide any other comments or suggestions to help us improve the NPS OPH
File Type | application/pdf |
Author | Ponds, Phadrea D. |
File Modified | 2015-12-18 |
File Created | 2015-12-18 |