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Thank you for your interest in becoming a reviewer for the Rehabilitation Measures Database. To better match your expertise with instrument summary reviews, please tell us about yourself. If you have questions regarding the Rehabilitation Measures Database, please contact us at rehabmeasures@ric.org.

Thank you for helping us build a better Rehabilitation Measures Database!

Question Title

* 1. In which of the following areas would you be interested in reviewing instrument summaries:

Acquired Brain Injury

Cardiac Conditions

Cardiopulmonary Disease

Cerebral Palsy

Chronic Obstructive Pulmonary Disease

Cognitive Impairments

Concussion

Fibromyalgia

Geriatrics

Hip Fracture

Knee Dysfunction

Lower Limb Amputation

Movement Disorders

Multiple Sclerosis

Neck Injury

Osteoarthritis

Pain

Parkinson’s Disease

Peripheral Neuropathy

Spinal Cord Injury

Stroke

Traumatic Brain Injury

Urinary Incontinence

Vestibular Disorders

Other (please specify)

Question Title

* 2. What is your area of clinical expertise?

Care Manager

Occupational Therapist

Physical Therapist

Physician

Psychiatrist

Psychologist

Recreational Therapist

Social Worker

Speech Language Pathologist

Other (please specify)

Question Title

* 3. How often are you willing to review instrument summaries?

As needed

About one per month

About one every three months

About one every six months

About one a year

Question Title

* 4. Which of the following best describes your current role:

Clinician

Researcher

Student

Other (please specify)

Question Title

* 5. Please tell us how we can contact you (we do not share or distribute contact information):

Name:

Organization:

Email Address:

Phone Number: