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2010
October
T
Telerehabilitation
Telerehabilitation
0%
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1. What year were you born? (*This information will be used to examine generational difference in responses)
2. Please indicate your gender (This information will be used to examine difference in responses related to gender)
Male
Female
3. Please indicate your highest academic degree
BS
MOT
MS
MHS
OTD
DHS
EdD
PhD
Other
4. How many years have you practiced as an occupational therapist, in total?
5. I am currently practicing:
Full time
Part time
PRN
6. What is your practice setting (mark all that apply)?
Acute hospital
Inpatient rehab
Outpatient rehab
Early intervention
School systems
Sub-acute nursing facility (SNF)
Nursing home/Long-term care
Home health
Other
7. Please estimate on average how many miles each client travels to receive services at your setting?
0-10
11-20
21-30
31-40
41-50
50+
8. If you provide home-based services, on average how many miles do you travel to see each client (total # of miles per day/total # of clients per day)?
0-10
11-20
21-30
31-40
41-50
50+
9. On a scale of 1-5, please rate the amount of knowledge you feel you have regarding telerehabilitation.
1- No knowledge
2
3
4
5- Very knowledgeable
10. On a scale of 1-5, to what extent are you familiar with the American Occupational Therapy Association’s position paper on telerehabilitation?
1- Not familiar
2
3
4
5- Very familiar
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