SSP Gathering Directory

Contact Information

We’re creating a directory of attendees of the SSP Gathering. It will contain contact information and some of your experience incorporating SSP into your practice. We’ll aggregate this survey data and share that with you as well.

In the spirit of learning, if you would like to share your information with other attendees of the SSP Gathering, please complete the questionnaire below. Thank you in advance for your time.

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* 1. Name and Title:

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* 2. Therapeutic Discipline:

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* 3. Practice Name:

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* 4. City and State/Country:

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* 5. Email address: