Customer Service Satisfaction Survey

1. You are a valued customer of the Ohio OTPTAT Board

You recently contacted the Ohio Occupational Therapy, Physical Therapy, and Athletic Trainers (OTPTAT) Board for services or information. 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 future services provided by the Board.

1. What service did the Ohio Occupational Therapy, Physical Therapy, and Athletic Trainers (OTPTAT) Board provide?

What service did the Ohio Occupational Therapy, Physical Therapy, and Athletic Trainers (OTPTAT) Board provide? Licensing / Renewals	Complaints / Enforcement	Clarification on Laws and Rules	Other
Other (please specify)

2. Which profession did your issue/service deal with (check all that apply)?

Which profession did your issue/service deal with (check all that apply)? Occupational Therapy

Physical Therapy

Athletic Training

3. 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 services provided by the Board's licensees

Other

Other (please specify)

4. How would you rate the your experience interacting with the OTPTAT Board?

	Excellent	Good	Neutral	Needs Improvement	Poor / Unsatisfactory
Timeliness of Service/Information Provided (within 24-48 hours)	*How would you rate the your experience interacting with the OTPTAT Board? Timeliness of Service/Information Provided (within 24-48 hours) Excellent	Timeliness of Service/Information Provided (within 24-48 hours) Good	Timeliness of Service/Information Provided (within 24-48 hours) Neutral	Timeliness of Service/Information Provided (within 24-48 hours) Needs Improvement	Timeliness of Service/Information Provided (within 24-48 hours) Poor / Unsatisfactory
Accuracy of Service/Information Provided	Accuracy of Service/Information Provided Excellent	Accuracy of Service/Information Provided Good	Accuracy of Service/Information Provided Neutral	Accuracy of Service/Information Provided Needs Improvement	Accuracy of Service/Information Provided Poor / Unsatisfactory
Knowledge and Expertise of Board staff	Knowledge and Expertise of Board staff Excellent	Knowledge and Expertise of Board staff Good	Knowledge and Expertise of Board staff Neutral	Knowledge and Expertise of Board staff Needs Improvement	Knowledge and Expertise of Board staff Poor / Unsatisfactory
Helpfulness of the Board staff	Helpfulness of the Board staff Excellent	Helpfulness of the Board staff Good	Helpfulness of the Board staff Neutral	Helpfulness of the Board staff Needs Improvement	Helpfulness of the Board staff Poor / Unsatisfactory
Professionalism of Board staff	Professionalism of Board staff Excellent	Professionalism of Board staff Good	Professionalism of Board staff Neutral	Professionalism of Board staff Needs Improvement	Professionalism of Board staff Poor / Unsatisfactory
Courtesy of Board staff	Courtesy of Board staff Excellent	Courtesy of Board staff Good	Courtesy of Board staff Neutral	Courtesy of Board staff Needs Improvement	Courtesy of Board staff Poor / Unsatisfactory
Successful Resolution of Your Issue	Successful Resolution of Your Issue Excellent	Successful Resolution of Your Issue Good	Successful Resolution of Your Issue Neutral	Successful Resolution of Your Issue Needs Improvement	Successful Resolution of Your Issue Poor / Unsatisfactory
Overall Quality of Service Provided by the OTPTAT Board	Overall Quality of Service Provided by the OTPTAT Board Excellent	Overall Quality of Service Provided by the OTPTAT Board Good	Overall Quality of Service Provided by the OTPTAT Board Neutral	Overall Quality of Service Provided by the OTPTAT Board Needs Improvement	Overall Quality of Service Provided by the OTPTAT Board Poor / Unsatisfactory

5. How do you rate the OTPTAT Board's website?

	Strongly agree	Agree	Neutral	Disagree	Strongly disagree
Website is easy to navigate.	*How do you rate the OTPTAT Board'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
I easily found the information I was looking for.	I easily found the information I was looking for. Strongly agree	I easily found the information I was looking for. Agree	I easily found the information I was looking for. Neutral	I easily found the information I was looking for. Disagree	I easily found the information I was looking for. 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)

6. 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

7. If yes, which state?

If yes, which state? State/Province:

8. If you answered "yes" to question 6, please rate the service provided by the OTPTAT Board

	Excellent	Good	Neutral	Needs Improvement	Poor / Unsatisfactory
Service provided by OTPTAT Board compared to that provided by other state boards	*If you answered "yes" to question 6, please rate the service provided by the OTPTAT Board Service provided by OTPTAT Board compared to that provided by other state boards Excellent	Service provided by OTPTAT Board compared to that provided by other state boards Good	Service provided by OTPTAT Board compared to that provided by other state boards Neutral	Service provided by OTPTAT Board compared to that provided by other state boards Needs Improvement	Service provided by OTPTAT Board compared to that provided by other state boards Poor / Unsatisfactory

9. Additional comments or suggestions:

Additional comments or suggestions:

10. Where are you located?

Where are you located? City/Town:
State/Province:
ZIP/Postal Code:
Country:

11. If you would like the Board to contact you regarding your comments, please leave your name and email address. This information is optional.

If you would like the Board to contact you regarding your comments, please leave your name and email address. This information is optional. Name:
Email Address: