Certificate - Dry Needling Master Class

Dry Needling For Anterior Knee Pain & Final Course Submission

Course Forms, Evaluation & Certificate
Name As You Want On Your Certificate (Please fill all the boxes)*

First NameLast NameCredentials
Email*
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Date (Please put the date of the Webinar)*

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Date
LICENSE NUMBER (S) & STATE(S) - (please fill in with your credentials)*
POST COURSE KNOWLEDGE TEST

Please click the correct answer - True/False
1. Common contributors to anterior knee pain are the hip and foot.*

TrueFalse
2. Dry needling the popliteus is safe and easy to perform*

TrueFalse
3. When dry needling the anterior hip, be sure to find the femoral pulse to stay away from important neurovascular structures in the region.*

TrueFalse
4. : When dry needling the quad,angle the needle towards the adductor canal.*

TrueFalse
5. When dry needling for anterior knee pain, it is advised to needle the local structures such as the patellar tendon, as well region structures such as the VMO, Vastus Lateralis, and IT band.*

TrueFalse
6. When needling the patellar tendon, know your depth so you avoid entering the joint capsule along the joint line.*

TrueFalse
7. Inserting needles at different angles can be effective for reducing pain by increasing the amount of contact area between the needle and tissue, ultimately straining more fibroblasts.*

TrueFalse
8. If needling the involved leg does not improve symptoms, it is advisable to look to the opposite limb or even the shoulder.*

TrueFalse
9. When needling for recovery, the goal is to bring attention to the area neurologically to promote homeostasis and regeneration of local tissues.*

TrueFalse
10. Rotating a needle that is placed in the IT band can be an effective means of improving pain and dysfunction in the area due to the mechano-transduction that takes place in connective tissue with needle grasp.*

TrueFalse
EVALUATION FORM
Name Of The Instructor :*

Mitch Hauschildt
YOUR OVERALL SATISFACTION WITH THE COURSE (1 POOR, 5 EXCELLENT)?*

54321
CONFIDENCE IN RECOMMENDING THIS COURSE TO OTHERS (1 POOR, 5 EXCELLENT)?*

54321
THE INFORMATION RECEIVED WAS USEFUL AND BENEFICIAL*

STRONGLY AGREEAGREEDISAGREESTRONGLY DISAGREE
THE PROGRAM MET THE STATED LEARNING OBJECTIVES*

STRONGLY AGREEAGREEDISAGREESTRONGLY DISAGREE
THE PRESENTATION STYLE ENHANCED MY LEARNING EXPERIENCE*

STRONGLY AGREEAGREEDISAGREESTRONGLY DISAGREE
THE PROGRAM FACULTY WAS RESPONSIVE TO QUESTIONS/COMMENTS*

STRONGLY AGREEAGREEDISAGREESTRONGLY DISAGREE
THE EDUCATIONAL MATERIALS WERE USEFUL?*

STRONGLY AGREEAGREEDISAGREESTRONGLY DISAGREE
THE LEARNING ASSESSMENT (TEST) WAS APPROPRIATE*

STRONGLY AGREEAGREEDISAGREESTRONGLY DISAGREE
WHAT DID YO LIKE MOST ABOUT THIS PROGRAM?*
WHAT DID YO LIKE LEAST ABOUT THIS PROGRAM?*
DO YOU FEEL THERE WAS COMMERCIAL BIASE OR INFLUENCE IN THIS ACTIVITY?*

YESNO
IF YES, PLEASE EXPLAIN
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REGISTRATION PROCESS*

EXCELLENTGOODFAIRPOOR
PROGRAM FACULTY*

EXCELLENTGOODFAIRPOOR
WAS THE PROGRAM FACULTY KNOWLEDGEABLE REGARDING THE CONTENT OF THEIR PRESENTATION*

YESNO
WAS THE PROGRAM FACULTY RELEVANT REGARDING THE CONTENT OF THEIR PRESENTATION*

YESNO
WAS THE PROGRAM FACULTY EFFECTIVE WITH THE CONTENT OF THEIR PRESENTATION*

YESNO
IF YOU ANSWERED NO TO ANY OF THE 3 QUESTIONS ABOVE PLEASE EXPLAIN
THE PRESENTATION MET MY EXPECTATIONS*

STRONGLY AGREEAGREEDISAGREESTRONGLY DISAGREE
THE PROGRAM FACULTY STYLE WAS APPROPRIATE FOR THE MATERIAL PRESENTED*

STRONGLY AGREEAGREEDISAGREESTRONGLY DISAGREE
THE PROGRAM FACULTY WAS RESPONSIVE TO QUESTIONS/COMMENTS*

STRONGLY AGREEAGREEDISAGREESTRONGLY DISAGREE
THE PROGRAM MET MY OBJECTIVES*

STRONGLY AGREEAGREEDISAGREESTRONGLY DISAGREE
THE INFORMATION RECEIVED WAS USEFUL AND BENEFICIAL*

STRONGLY AGREEAGREEDISAGREESTRONGLY DISAGREE
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Dry Needling For Anterior Knee Pain & Final Course Submission

POST COURSE KNOWLEDGE TEST

EVALUATION FORM

PLEASE RATE THE FOLLOWING COMPONENTS OF THIS PROGRAM