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Welcome to your Pediatrician Survey

Your Name
Practice Name
Email
Approximately how many of your patients are you referring to speech therapy services?
Which of the following speech and language concerns are you referring out for evaluation/treatment
What questions are parents asking regarding the above concerns that you do not feel equipped to answer?
What information can we give you that would be helpful to educate caregivers on these concerns?
How competent do you feel in explaining rationale and benefit of occupational therapy evaluation/treatment to a caregivers
1 out of 3
Approximately how many of your patients are you referring for occupational therapy services?
Which of the following  concerns are you referring out for occupational therapy evaluation/treatment?
What questions are parents asking regarding the above concerns that you do not feel equipped to answer?
What information can we give you that would be helpful to educate caregivers on these concerns?
How competent do you feel in explaining rationale and benefit of occupational therapy evaluation/treatment to a caregivers
2 out of 3
We have limited spots available for Lunch and Learns. By completing this survey, you have a chance to receive a educational meeting with Emerge Pediatric Therapy Staff  and a provided lunch. If you are interested please enter your contact information below so we can get in touch with you in the future.
3 out of 3