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The State of Oregon asks us to collect responses from the
public on their customer service experience.  We welcome your input!

If you'd like to complete the survey electronically,  click here.

If you'd like to print a copy and mail in, click here to download the form.

If you would like to request a self-addressed, stamped survey mailed to you, 
contact our office at 1-800-522-2602 or email us​.

Surveys can be returned to:
Oregon Long-Term Care Ombudsman
3855 Wolverine NE Suite 6
Salem, OR 97305