Questions

• For multiple selection hold CTRL button and Click.
  
  
• 1.What state are you licensed in?
  Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

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• 2.Do you need to obtain CE to maintain your PT license?
• Select One Yes No
  3.If Yes, How many hours per year?

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• 4.Does your employer reimburse you?
• Select One Yes Partially Sometimes No

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• 5.How much do you spend per CE hour on average?
• Select One Less than $10 $10 to $15 $16 to $24 $25 to $30 More than $30

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• 6.How do you find seminars to attend?
• Select One to Four Employer APTA website State Association Advance for PT NewsMagazine Direct Fax or Email Advertising Co-worker/Word of Mouth Other Websites or Publications
  If Other, please be specific.

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• 7.What do you look for in a CE course?

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• 8.What course topics do you look for?
  You may select multiple topics with CTRL button.
  
• Pediatrics Geriatrics Neuroplasticity Gait Training E-Stim Falls SCI TBI Autism Other
  If Other, please specify.

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• 9.What length of course do you prefer?
• Select One 1/2 Day 1 Day 1 1/2 Days 2 Days More Than 2 Days

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• 10.When do you prefer to attend courses?
• Select Season Spring Summer Fall Winter Select Day Weekday Weekend Select Time Morning Afternoon Evening

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• 11.Which type of class do you prefer?
• Select One Traditional Classroom Course Live Online Course Pre-Recorded Online Course Lecture Only Lecture With Live Demonstration Lecture With Video Lecture Course With Lab Component Lab Only, Hands-On Course

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• 12.Would you attend a CE course sponsored by an equipment manufacturer?
• Select One Yes, if the topic interests me Yes, if free or low cost Yes, if no specific product promoted No

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• 13.Would you participate in an accredited online courses?
• Select One Yes, if the topic interests me Yes, if free or low cost Yes, if no specific product promoted No

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• 14.Have you attended a Mobility Research sponsored course?
• Select One Yes No I don't know

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• 15.How important is location when choosing a course to attend?
  I will attend
  
• Select One if within 100 miles of my home if within drivable distance if accessible with inexpensive regardless of travel

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• 16.What cities would you consider traveling to?
• Select One to Four New York City Los Angeles Chicago Houston Phoenix Philadelphia San Antonio San Diego Dallas San Jose Detroit Jacksonville San Francisco Indianapolis Columbus Austin Memphis Charlotte Baltimore Boston El Paso Milwaukee Seattle Nashville Other

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• 17.What did you dislike about the last CE course you attended?

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• 18.Describe your perfect CE course.

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• 19.Name *

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• 20.Email*

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