Urban Poling Inc. Survey
RequiredRequired Question(s)
Required 1.

How did you hear about this course?   

Email from Organizer
Email from Urban Poling
Conference Booth
Facebook Group or Social Media
Linkedin
Advertisement
Urban Poling website
Colleague
Article
Webinar
Other  
  • Comment:

  • 500 characters left.
2.
How much do you agree with this statement, I feel confident to implement this tool into my practice? 
Strongly agree
Somewhat agree
Neutral
Somewhat disagree
Strongly disagree
3.
Please rate your satisfaction with the following attributes of the training session.
 Very Dissatisfied Somewhat Dissatisfied Neutral Somewhat Satisfied Very Satisfied 
Ease of registration
Length of the course
Quality of supplementary materials provided
Price
Length of session
  • Comment:

  • 500 characters left.
4.
Please rate your satisfaction with the instructor on the following attributes.
 Very Dissatisfied Somewhat Dissatisfied Neutral Somewhat Satisfied Very Satisfied 
Thoroughness
Responsiveness
Teaching style
Ability to engage participants
  • Comment:

  • 500 characters left.
5.
How likely are you to recommend this training session to a friend or colleague?
Very likely
Somewhat likely
Neutral
Somewhat unlikely
Very unlikely
6.
Do you have any suggestions for improving this training?
 

350 characters left.
7.
Would you be interested in presenting an in-service on the ACTIVATOR Program to your colleagues? If yes, please contact mandy@urbanpoling.com   
Yes
No
8.
Would you be interested in contributing to the practice of using specialized walking poles in rehabilitation through a case review, video(s) of gait changes and/or a research study.  If yes, please leave your email below, so that we may contact you. 
 

50 characters left.
9.
Interested in learning more information about becoming a Master Trainer in the future, please contact us at mandy@urbanpoling.com 
 

50 characters left.