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DHS Tuberculosis Program and Refugee Health Liaison Feedback Survey, F-03170 (05/2023)

The Wisconsin Tuberculosis Program would like your feedback to help ensure continued quality service to our stakeholders. Please fill out the survey with your experience to help improve our program.

1. How would you rate your satisfaction with the following aspects of the service provided by the Wisconsin Tuberculosis Program (WTBP) and DHS Refugee Health Liaisons?

Space Cell	Very satisfied	Satisfied	Dissatisfied	Very dissatisfied
Quality of service	Quality of service: Very satisfied	Quality of service: Satisfied	Quality of service: Dissatisfied	Quality of service: Very dissatisfied
Professionalism and courtesy	Professionalism and courtesy: Very satisfied	Professionalism and courtesy: Satisfied	Professionalism and courtesy: Dissatisfied	Professionalism and courtesy: Very dissatisfied
Timeliness of service provided	Timeliness of service provided: Very satisfied	Timeliness of service provided: Satisfied	Timeliness of service provided: Dissatisfied	Timeliness of service provided: Very dissatisfied
The staff's relevant knowledge	The staff's relevant knowledge: Very satisfied	The staff's relevant knowledge: Satisfied	The staff's relevant knowledge: Dissatisfied	The staff's relevant knowledge: Very dissatisfied

2. If you would like to share any additional comments about your experience, please enter them below. Please do not provide any Personal Identifiable Information (PII) or Personal Health Information (PHI) in your responses.

3. We would appreciate it if you would consider including your name, particularly if you were dissatisfied with the service you received and would like us to follow up. Your name will be only be used for the purpose of following up with this survey and will not be shared or used for any other purpose.