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.

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

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

* 4. Please rate the CBOT staff in the following:

  Excellent Good Fair Poor Unacceptable N/A
Successful resolution of your issue
Overall satisfaction

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

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

  Strongly agree Agree Neutral Disagree Strongly disagree
Website is easy to navigate
Information was easy to find
I regularly visit the Board's website

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

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

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

* 12. Please provide additional comments or suggestions: