JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Dry Needling 360 Registration form
Welcome to Dry Needling 360 by Physilife
Kindly fill the form for registration
Join the whatsapp group for notifications by clicking the link below
https://chat.whatsapp.com/LKq22ijayaDFws3eJgwJe5
In case of any difficulty contact Physilife @ +91 8967549104
Youtube channel for lectures:
https://www.youtube.com/channel/UCTWtgD70azFXeI8xU_LseNA
Study material part 1:
https://www.physilife.in/quiz/lecture-1-dn-360/
Happy Learning!
* Indicates required question
Email
*
Your email
Name
*
Your answer
Phone No
*
Your answer
City / District
*
Your answer
Qualification
*
BPT Student: First year
BPT Student: Second year
BPT Student: Third year
BPT Student: Final year
Intern
BPT
MPT student
MPT
PhD
Other:
Do you have any prior experience/Exposure with dry needling?
*
I practice dry needling
I have seen other therapists using dry needling
No
Have you taken any course on dry needling before?
*
No
Yes, I had taken a one day course
Yes, I had taken a two days course
Yes, my course was 3 days/longer
Send me a copy of my responses.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
