Speech-Language Pathology and Audiology and Hearing Aid Dispensers Board: General Customer Satisfaction Survey

You are a valued customer of the Speech-Language Pathology and Audiology and Hearing Aid Dispensers Board (SLPAHAD or Board). The Board would appreciate receiving your opinion and 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.

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* 1. Which of the following best describes you:

Current licensee

Applicant for licensure (initial or reinstatement)

Consumer

Exam candidate

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* 2. During the past 12 months, how many times have you had contact with the SLPAHAD Board?

I have not had contact with the Board in the last 12 months

1-3 times

4-6 times

7-10 times

more than 10 times

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

Yes

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* 4. Please rate the Board's staff in the following:

	Excellent	Good	Fair	Poor
Accessibility	Accessibility Excellent	Accessibility Good	Accessibility Fair	Accessibility Poor
Timeliness	Timeliness Excellent	Timeliness Good	Timeliness Fair	Timeliness Poor
Courtesy/Helpfulness	Courtesy/Helpfulness Excellent	Courtesy/Helpfulness Good	Courtesy/Helpfulness Fair	Courtesy/Helpfulness Poor
Knowledge/Expertise	Knowledge/Expertise Excellent	Knowledge/Expertise Good	Knowledge/Expertise Fair	Knowledge/Expertise Poor
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
Overall satisfaction	Overall satisfaction Excellent	Overall satisfaction Good	Overall satisfaction Fair	Overall satisfaction Poor

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

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

Other comments related to the Board's website (please specify)

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* 6. Please provide additional comments or suggestions relating to customer service provided by the Board.

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* 7. Optional: Please provide the Board with your contact information so a staff member can address your particular issue, if needed.

Name

Email Address

Phone Number

Thank you very much for participating in this survey. Your feedback is important.