Texas State Board of Pharmacy (TSBP)
wants to serve you better & appreciates your
taking the time to complete this survey.

  To insure impartiality, this survey is conducted by the University of Texas at Austin.
  For each of the following statements, select the one which most clearly reflects your answer.  You may skip items that do not apply.
  This survey is anonymous and  we do not collect information which allows for identification of individuals.

Enter the control number here:
If you received an email invitation to this survey, enter the Control Number in the above box. If you were not provided with a Control Number, leave it blank. This number is not associated with you, but is used to insure a valid response.

Please answer the following items:

Number of times in contact with TSBP in the last 12 months:
Once      2 to 5      5+     

Purpose of your contact(s) (Check all that apply):
Application for Pharmacist License
Application for Pharmacy License
Application for Intern Registration
Application for Preceptor Registration
Application for Pharmacy Technician Registration
Pharmacy Law Question
Renewal of Pharmacist License
Renewal of Pharmacy License
Renewal of Pharmacy Technician Registration
Continuing Education
Compliance Inspection
Name/Address Change
Filed a Complaint
Requesting Information
Subject of a Complaint
Subject of a Disciplinary Action
Other (please specify)

Your contacts with TSBP were by (Check all that apply):
In Person

Do you hold a license or registration issued by TSBP (E.g. pharmacist, pharmacy owner, intern, pharmacy technician)?
Yes      No