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Please fill out the following fields:

*Indicates Required Field
Contact Information
*First Name
*Last Name
*Email
*Member Number
*Workshop Location
*Workshop Date
*Workshop Clinician / Tester
How did you hear about workshop?
Please rate each of the following.

Workshop leader was knowledgeable of subject material.

Workshop leader was prepared and provided clear and organized presentations.

Workshop leader was professional in appearance and attitude.

Workshop leader was courteous and respectful of my abilities and experience.

I developed new teaching skills and abilities as a result of the workshop.

The workshop facility was accommodating and met the needs of the workshop and the participants.

I was prepared for the certification exam after completion of the Workshop.

The certification exam was an objective measure of my skills and abilities.

As a result, I may participate in other PTR Workshops and courses in the future.

Program Specific Questions
What did you like about the workshop?

What areas of the workshop were unclear or need improvement?

What did you like about your workshop leader?

Are there any areas your workshop leader could improve in?

Please give some feedback about the process of joining PTR and/or registering for a workshop. Was the process easy, difficult, etc.? How could it be improved or simplified?

Participant Feedback
Select any workshops you would like PTR to offer in your area.
(To select multiple workshops, hold down your CTRL key and click each selection.)
Additional Comments
(Regarding workshop, workshop leader or facility.)
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