General Stakeholder Satisfaction SurveyGeneral Stakeholder Satisfaction Survey

1. You are a valued customer of the California Board of Occupational Therapy

The Board would appreciate receiving your opinion on the level of service provided. Please take a few minutes to complete this brief survey. Your response will help improve services provided by the Board.

1. During the past 12 months, how often have you contacted the CBOT?

During the past 12 months, how often have you contacted the CBOT?

2. Which of the following best describes you (check all that apply):

Which of the following best describes you (check all that apply): Current Licensee

Applicant for licensure (initial or reinstatement)

Consumer of occupational therapy services

Other (please specify)

3. Did you receive the service/assistance you needed as result of your contact?

Did you receive the service/assistance you needed as result of your contact? Yes

4. Please rate the CBOT staff in the following:

	Excellent	Good	Fair	Poor	Unacceptable	N/A
Accessibility	*Please rate the CBOT staff in the following: Accessibility Excellent	Accessibility Good	Accessibility Fair	Accessibility Poor	Accessibility Unacceptable	Accessibility N/A
Courtesy/Helpfulness	Courtesy/Helpfulness Excellent	Courtesy/Helpfulness Good	Courtesy/Helpfulness Fair	Courtesy/Helpfulness Poor	Courtesy/Helpfulness Unacceptable	Courtesy/Helpfulness N/A
Knowledge/Expertise	Knowledge/Expertise Excellent	Knowledge/Expertise Good	Knowledge/Expertise Fair	Knowledge/Expertise Poor	Knowledge/Expertise Unacceptable	Knowledge/Expertise N/A
Successful resolution of your issue	Successful resolution of your issue Excellent	Successful resolution of your issue Good	Successful resolution of your issue Fair	Successful resolution of your issue Poor	Successful resolution of your issue Unacceptable	Successful resolution of your issue N/A
Overall satisfaction	Overall satisfaction Excellent	Overall satisfaction Good	Overall satisfaction Fair	Overall satisfaction Poor	Overall satisfaction Unacceptable	Overall satisfaction N/A

5. Do you find the CBOT's web site useful?

Do you find the CBOT's web site useful? Yes

Helpful pages/suggestions/general website comments

6. How do you rate the CBOT's website?

	Strongly agree	Agree	Neutral	Disagree	Strongly disagree
Website is easy to navigate	*How do you rate the CBOT's website? Website is easy to navigate Strongly agree	Website is easy to navigate Agree	Website is easy to navigate Neutral	Website is easy to navigate Disagree	Website is easy to navigate Strongly disagree
Information was easy to find	Information was easy to find Strongly agree	Information was easy to find Agree	Information was easy to find Neutral	Information was easy to find Disagree	Information was easy to find Strongly disagree
I regularly visit the Board's website	I regularly visit the Board's website Strongly agree	I regularly visit the Board's website Agree	I regularly visit the Board's website Neutral	I regularly visit the Board's website Disagree	I regularly visit the Board's website Strongly disagree

Other Comments (please specify)

7. Have you interacted with any other state licensing/regulatory board or agency?

Have you interacted with any other state licensing/regulatory board or agency? Yes

8. If yes, which state?

If yes, which state?

9. If you answered "yes" to question 7, which licensing/regulatory board?

If you answered "yes" to question 7, which licensing/regulatory board?

10. If you answered "yes" to question 7, please rate the service provided by our Board.

If you answered "yes" to question 7, please rate the service provided by our Board.

11. Would you be willing to provide an email address to receive a newsletter?

Would you be willing to provide an email address to receive a newsletter? Yes

If yes, please provide e-mail address in the box below

12. Please provide additional comments or suggestions:

Please provide additional comments or suggestions: