HII Physical Therapy Survey

Physical Therapy Interest Survey

Thank you for taking a couple of minutes to fill out our survey regarding potential physical therapy topics. We're always looking for ways to support your health. Your feedback is greatly appreciated. If you want our physical therapists to contact you, please include your name, email, and phone number.
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Which location/division do you work for?*
What is your work type?*
What is your age range?

18-3031-4041-5051-6061+I prefer not to answer
What is your gender?

FemaleMaleOtherI prefer not to answer
What topics would you like to learn about from our physical therapy team? (Choose all that apply)

ErgonomicsInjury preventionLow back painKnee painManagement of overuse injuries/tendonitisNeck painSafe liftingSafe running progressionShoulder painStrength training and progressionOther
How did you hear about the Feel better. Move better. program? (Choose all that apply)

BeWell Bulletin monthly newsletterCoworker/LeaderDigital displayEmailFamily memberHII Highlights weekly emailHII intranet websitemyquadmed.com/BeWell siteQuadMed staffOther
Do you have any additional comments?
Should be Empty:

Physical Therapy Interest Survey