*1.Please provide your first name:(Required.)

*2.Please provide your last name:(Required.)

3.What are your credentials?  (check all that applies)

PT

DPT

SCS 

OCS

ATC

PhD

MS

MBA

MEd

MA

Other (please specify)

*4.Please provide your current place of employment and your job title.(Required.)

5.Please provide your phone number (optional):

6.Please provide your email address. 

7.Have you volunteered or worked with CPG's in the past?

Yes

No

8.If yes, in what capacity? If no, please list which area(s) would you like to assist in? (check all that apply)

Workgroup leader

Planning and Resources

CPG Developement

Author - leader of a guideline

Author - secondary author of a guideline

Screening abstracts - title, abstract, full text review

Critical appraisal

Data extraction and building evidence tables

Writing sections of the CPG

Revisions/updating

Knowledge Translation (implementation of CPG's)

Other (please specify)

9.What is your area of expertise: MSK regions (check all that applies)

Achilles Pain/Tendinopathy

Ankle Stability & Movement Coordination Impairments/Ankle Ligament Sprain

Distal Redial Fractures

Elbow Epicondylitis

Elbow Tendinopathy

Foot/Ankle

Headache

Hip Fracture

Low Back Pain

Lumbar Spine

Knee

Medical Screening in Management of Common Musculoskeletal Conditions

Neck

Non-Arthritic Hip Joint Pain

Pain Management

Pelvic/Sacrum

Post-Concussion Syndrome

Prevention of Chronic Pain Associated with Common Musculoskeletal Conditions

Shoulder Instability

Shoulder Pain and Mobility Deficits: Shoulder Adhesive Capsulitis

Shoulder Rotator Cuff Syndrome

Heel Pain / Plantar Fasciitis

Hamstring Muscle Injury

Thoracic Spine

Hip Fracture

Hip Pain Mobility Deficits Hip

Work Rehabilitation

Hand Pain: Carpal Tunnel Syndrom