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: