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THE BRIDGE OT SUMMER CAMP (3)

Register for ‘The ONLINE Bridge’ Functional Anatomy Workshop

- Step 1 of 3

Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Email *

Phone *

Who are you? *

OT student
OTA student
Practicing OT
Practicing OTA

What do you hope to gain from this workshop? *

Level exposure to physical medicine OT and functional anatomy *

Barely any
A good rough overview
I can hold my own
I am proficient in functional anatomy

What OT/OTA program did/do you attend? And year of graduation. *

Likert Scale *

	Completely Agree	Cautiously Agree	Neutral	Slightly Disagree	Completely Disagree
I am Excited for The Bridge	I am Excited for The Bridge Completely Agree	I am Excited for The Bridge Cautiously Agree	I am Excited for The Bridge Neutral	I am Excited for The Bridge Slightly Disagree	I am Excited for The Bridge Completely Disagree
I need to refresh my human anatomy	I need to refresh my human anatomy Completely Agree	I need to refresh my human anatomy Cautiously Agree	I need to refresh my human anatomy Neutral	I need to refresh my human anatomy Slightly Disagree	I need to refresh my human anatomy Completely Disagree
I am comfortable doing manual therapy	I am comfortable doing manual therapy Completely Agree	I am comfortable doing manual therapy Cautiously Agree	I am comfortable doing manual therapy Neutral	I am comfortable doing manual therapy Slightly Disagree	I am comfortable doing manual therapy Completely Disagree
I have experience with hands-on physical medicine OT	I have experience with hands-on physical medicine OT Completely Agree	I have experience with hands-on physical medicine OT Cautiously Agree	I have experience with hands-on physical medicine OT Neutral	I have experience with hands-on physical medicine OT Slightly Disagree	I have experience with hands-on physical medicine OT Completely Disagree
I see myself working adult population	I see myself working adult population Completely Agree	I see myself working adult population Cautiously Agree	I see myself working adult population Neutral	I see myself working adult population Slightly Disagree	I see myself working adult population Completely Disagree
I am nervous to take this workshop	I am nervous to take this workshop Completely Agree	I am nervous to take this workshop Cautiously Agree	I am nervous to take this workshop Neutral	I am nervous to take this workshop Slightly Disagree	I am nervous to take this workshop Completely Disagree
I am proficient with medical terminology	I am proficient with medical terminology Completely Agree	I am proficient with medical terminology Cautiously Agree	I am proficient with medical terminology Neutral	I am proficient with medical terminology Slightly Disagree	I am proficient with medical terminology Completely Disagree
Once explained, I am generally a quick learner	Once explained, I am generally a quick learner Completely Agree	Once explained, I am generally a quick learner Cautiously Agree	Once explained, I am generally a quick learner Neutral	Once explained, I am generally a quick learner Slightly Disagree	Once explained, I am generally a quick learner Completely Disagree

Anything else you want to share with us?

Registration for The Bridge ONLINE

Price: $ 175.00

Remember that you will not receive ANY materials for The Bridge until July 5th (After the in-person workshop!!) If you order a shirt BEFORE June 1st, you will receive the shirt prior to this date.

Total

$ 0.00

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