The Bridge Online Registration - Buffalo Occupational Therapy

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: $ 224.00

Remember that you will not receive ANY materials for The Bridge until July 5th (After the in-person workshop!!)

Do you want a licensed copy of the physical material in PDF form to print or reference during the course?

Licensed PDF Copy of Manual, Workbook, and Companion Guide - $ 89.00

NOTE: Please note that due to the time it takes to individually license and release course material, you are required to pay an additional fee to have the PDF material. All core course content is accessible on the website as you go through the learning modules. You will NOT lack information if you choose not to pay for the licensed PDF material.

Total

$ 0.00

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Register for ‘The ONLINE Bridge’ Functional Anatomy Workshop