Satisfaction Survey

The Board is soliciting your input to continually improve our service to you. Information collected will be solely used for this purpose. This survey is only a few questions, and will take less than 5 minutes to complete.

Please select the term which best describes you:
Name:
Phone Number:
During the last 12 months, have you contacted the Board by (mark all that apply):

During the past 12 months, how often have you contacted the Respiratory Care Board?

Which of the Board's units assisted you during your contact?

Please provide the name of the staff member who served you:

 *optional
Please rate the service you received:

Courtesy:

Responsiveness:

Knowledgeable:

Accessibility:

Overall Satisfaction:

Have you received a copy of the Board's newsletter, the Respiratory Update?

 Yes No

If so, do you find the articles informative?

 Yes No

Is there particular information you would like provided in the newsletter?

 Yes No
Do you have any suggestions for future articles? Yes No

Prior to participating in this survey, have you had an opportunity to visit the Board's website?

 Yes No

If so, did you easily find the information you needed?

 Yes No

Do you have any suggestions for other helpful information you would like added?

 Yes No

Are you familiar with the online License Search service?

 Yes No

If so, have you utilized this service?

 Yes No

Have you or one of your family members received treatment from a respiratory care practitioner during the last year?

 Yes No

Please rate the treatment you or your family member received:
Please note any additional comments or suggestions on how we can improve our services: