Health Care Workforce Survey

HEALTH CARE WORKFORCE QUESTIONNAIRE

This information is collected by the Oregon Health Authority in collaboration with the Oregon Board of Optometry, as part of legislatively mandated Health Care Workforce Database reporting, ORS 676.410 and Oregon Administrative Rules (OARs) 409-026-0100 through 409-026-0140.

The questionnaire should take approximately 5 - 8 minutes to complete. The data gathered in this questionnaire are not connected to your license renewal application. All personally identifiable information from this data collection will be kept confidential and only reported in aggregate.

To navigate the form, use the arrow buttons at the bottom of the window. At the end of the questionnaire you will be redirected to the Licensing Board web page to continue with your license renewal.

If you need technical assistance with this survey, please contact a member of the Health Care Workforce Reporting Team by phone at (971) 283-8792 or e-mail at wkfc.admin@dhsoha.state.or.us

License Information:

(Please enter your 4-digit license number)

License Number:

First Name:

Last Name:

Middle Name (optional):