Survey

SURVEY
THERAPISTS' ATTITUDES

* Indicates required field

Name *

First

Last

[object Object]

Email *

Age? *

Under 30 30 to 35 35 to 40 40 to 45 45 to 50 50 to 55 55 to 60 60 to 65 65 to 70 Over 70

Sex *

Female Male Other

If Other please specificy *

How many years are you accredited? *

Less than 5 Years 5 to 10 Years 10 to 15 Years 15 to 20 Years 20 to 25 Years 25 to 30 Years More than 30 Years

Do you provide Online Therapy *

0% 0% to 25% 25% to 50% 50% to 75% 75% to 100% 100%

What is your level of education? *

Level 6 Level 7 Level 8 Level 9 Level 10

Choose One *

Option 1 Option 2 Option 3

Competency in using Online Video platforms *

Very Weak Weak Neither Weak nor Strong Stong Very Strong

Choose One *

Option 1 Option 2 Option 3

1. *

Strongly Agree Agree Neither Agree nor Disagree Disagree Strongly Disagree

2. *

Strongly Agree Agree Neither Agree nor Disagree Disagree Strongly Disagree

3. *

Strongly Agree Agree Neither Agree nor Disagree Disagree Strongly Disagree

4. *

Strongly Agree Agree Neither Agree nor Disagree Disagree Strongly Disagree

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