OC CPTA District Survey 2020

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Hello! This form is to help the OC District board with planning our 2020 events and continuing education courses. Please take a moment to fill out this quick survey! We will be discussing our budget for 2020 in the first week of December and appreciate and feedback you may have.

**As a thank you for participating in this survey, we will be selecting 2 lucky respondents at the end of January 2020. These individuals will receive $50 off one of our upcoming CPTA sponsored continuing education courses for 2020**

Are you a current APTA member? *

Yes

Please choose the option that best describes you: *

Physical Therapist

Physical Therapist Assistant

Student Physical Therapist

Student Physical Therapist Assistant

Other:

Which best describes the primary setting(s) you work in? *

Outpatient Ortho (Private Practice)

Outpatient Ortho (Hospital)

Outpatient Neuro (Private Practice)

Outpatient Neuro (Hospital)

Pediatrics

Acute Care

Inpatient Rehab

Skilled Nursing Facility or Assisted Living Facility

Home Health

Current Student

Academia

Retired or not currently working

Other:

Required

What part of Orange County do you live/work in? If you live & work in different parts of OC, please specify in "Other" *

West OC: Cypress, Fountain Valley, Huntington Beach, Los Alamitos, Seal Beach, Stanton, Westminster, etc.

South OC: Costa Mesa, Irvine, Lake Forest, Laguna Beach, Laguna Niguel, Newport Beach, Rancho Santa Margarita, Dana Point, San Juan Capistrano, San Clemente

North OC: Anaheim, Brea, Fullerton, Garden Grove, La Habra, Orange, Placentia, Santa Ana, Tustin, Yorba Linda

Other:

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