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A Survey of the Landscape: Occupational Therapy in Montana
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1.
Organization Name
(Required.)
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2.
Organization type
(Required.)
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3.
Your Name
(Required.)
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4.
Title
(Required.)
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5.
Email Address
(Required.)
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6.
Community/communities served
(Required.)
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7.
Can we contact you about this survey?
(Required.)
Yes
No
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8.
How familiar are you with Occupational Therapy?
(Required.)
Extremely familiar
Very familiar
Somewhat familiar
Not so familiar
Not at all familiar
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9.
Are you familiar with the scope of interventions Occupational Therapy can provide?
(Required.)
Extremely familiar
Very familiar
Somewhat familiar
Not so familiar
Not at all familiar
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10.
Is whole health prioritized in your organization?
(Required.)
Yes
No
Not sure
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11.
What barriers do you face in integrating whole health into the everyday life of those you serve?
(Required.)
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12.
Do you currently have open positions for occupational therapists?
(Required.)
Yes
No
If yes, how many positions do you have available?
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13.
What unmet needs are there in your organization related to Occupational Therapy?
(Required.)
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14.
What unmet needs are there in your organization related to Mental Health?
(Required.)
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15.
What unmet needs are there in your organization related to overall health and wellness?
(Required.)
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16.
How does funding affect your employment of Occupational Therapy professionals?
(Required.)
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17.
What are your primary funding sources?
(Required.)
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18.
Do you have established working relationships or partnerships with organizations in your community centered on community integration?
(Required.)
Yes
No
Not sure
If yes, what are those partnerships?
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19.
What are your goals to increase and strengthen community partnerships?
(Required.)
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20.
Would you be interested in the opportunity to resource share an Occupational Therapy professional in your community if available?
(Required.)
Yes
No
Comments
21.
Other comments or feedback