Occupational Therapy Awareness Survey Form

Occupational Therapy Awareness Survey Form
Please complete the Occupational Therapy Awareness Survey Form to help us better understand general awareness and perceptions of occupational therapy.
How familiar are you with the field of occupational therapy?
Where have you heard about occupational therapy? (Select all that apply)
Other
How would you rate your understanding of what occupational therapy professionals do?
Occupational therapy helps people participate in daily activities through therapeutic interventions.

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1 is Strongly disagree, 5 is Strongly agree
In your opinion, how important is occupational therapy in healthcare?
Which populations do you believe benefit most from occupational therapy? (Select all that apply)
Other
How likely are you to recommend occupational therapy services to someone who may benefit?

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1 is Not likely, 5 is Very likely

Please indicate your agreement with the following statements about occupational therapy.

Rows	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree
Occupational therapy is accessible in my community.
I know how to find occupational therapy resources.
Occupational therapy is well represented in the media.

Which of the following best describes your current role?
Please share any additional comments or suggestions about occupational therapy awareness.
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