Webinar Survey

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Webinar/Home-Study Course Survey

E-mail address (optional) *

* Indicates required field

What state are you licensed to practice in? *

Georgia Florida both Georgia and Florida

What is your professional discipline? *

PT, PTA OT, OTA CRC Social Worker Other Prefer not to say

Would you consider attending a course via webinar or home-study? *

Yes No Depends

When would it be convenient for you to attend a webinar course? *

Weeknights Weekends Only Other

If Other, please specify: *

What topics would be of interest to you? *

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