You are a valued customer of the Dental Hygiene Committee of California.

The Dental Hygiene Committee of California 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 Committee.

During the past 12 months, how often have you contacted the Dental Hygiene Committee of California? (Select One Option)

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* 1. During the past 12 months, how often have you contacted the Dental Hygiene Committee of California? (Select One Option)

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

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

Did you receive the service/assistance you requested?

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* 3. Did you receive the service/assistance you requested?

Please rate the Dental Hygiene Committee of California's staff in the following:

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* 4. Please rate the Dental Hygiene Committee of California's staff in the following:

  Excellent Good Fair Poor Unsatisfied
Accessibility
Courtesy/Helpfulness
Knowledge/Expertise
Successful Resolution
Overall Satisfaction
Do you find the Dental Hygiene Committee of California's website useful?

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* 5. Do you find the Dental Hygiene Committee of California's website useful?

How do you rate Dental Hygiene Committee of California's website?

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* 6. How do you rate Dental Hygiene Committee of California's website?

  Excellent Good Fair Poor Unacceptable
Easy to Navigate
Information Easy to Find
I regularly visit Committee's site
Have you interacted with any other state licensing/regulatory agency?

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

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

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

Please provide additional comments or suggestions:

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* 9. Please provide additional comments or suggestions:

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