DTC Form Questionnaire

Question Title

* 1. Have you ever completed a Disability Tax Credit (DTC) Certificate form?

Yes

No (please skip to the end of the survey)

Question Title

* 2. How frequently do you fill out a DTC form over the course of a year?

0-5

5-10

10-20

20+

Question Title

* 3. What is the approximate fee your practice charges for filling out the DTC form?

$1-$50

$51-$100

$101-$150

$151-$200

Over $200

No fee

Question Title

* 4. What are the factors that hinder your ability to complete the DTC form? Please choose all that apply.

Time demands (e.g. the form is extensive and my time with a patient is limited)

Limited relationship or infrequent contact with patient

Knowledge level regarding the DTC form

Ambiguous/unclear language on the DTC form

Other (please specify)

Question Title

* 5. What are the factors that hinder your ability to complete follow up forms when the CRA requires further information? Please choose all that apply.

Time demands (e.g. the form is extensive and my time with a patient is limited)

Limited relationship or infrequent contact with patient

Knowledge level regarding the DTC form

Lack of original DTC form or accompanying paperwork

Ambiguous/unclear language on the DTC form

Not Applicable

Other (please specify)

Question Title

* 6. As a practitioner, what does/would help you most when filling out the DTC form? For the purpose of this question, please consider an advocate as a friend, family member or a support professional the patient brings in with them to help articulate their needs. Please choose all that apply.

Having a patient come in with additional supporting or pre-prepared documents

Having a patient come in with an advocate

Workshops worth CME credits surrounding the form

Hotline where physicians can inquire about issues with the DTC

Access to an electronic version of the DTC form

Other (please specify)

Question Title

* 7. As a physician, where do you get the majority of your information regarding the DTC form? Please choose all that apply.

Medical School

Seminar/Workshop

Colleagues

Disability Advocacy Organizations

Professional Physician body (e.g. College of Physicians)

Other (please specify)

Question Title

* 8. As a Physician, where do you go to find information if you run into issues filling out the DTC form? Please choose all that apply.

CRA hotline

Organizational hotlines (e.g. Access RDSP Hotline)

Colleagues

Disability Advocacy Organizations

Online sources and/or other resources (please specify)

Question Title

* 1. Have you ever completed a Disability Tax Credit (DTC) Certificate form?

Question Title

* 2. How frequently do you fill out a DTC form over the course of a year?

Question Title

* 3. What is the approximate fee your practice charges for filling out the DTC form?

Question Title

* 4. What are the factors that hinder your ability to complete the DTC form? Please choose all that apply.

Question Title

* 5. What are the factors that hinder your ability to complete follow up forms when the CRA requires further information? Please choose all that apply.

Question Title

* 6. As a practitioner, what does/would help you most when filling out the DTC form? For the purpose of this question, please consider an advocate as a friend, family member or a support professional the patient brings in with them to help articulate their needs. Please choose all that apply.

Question Title

* 7. As a physician, where do you get the majority of your information regarding the DTC form? Please choose all that apply.

Question Title

* 8. As a Physician, where do you go to find information if you run into issues filling out the DTC form? Please choose all that apply.

Question Title

* 9. Briefly outline any recommendations or feedback for the Disability Tax Credit Certificate form.