Advocacy Engagement Survey Logo
  • Advocacy Engagement Survey

  • We Need Your Input!

    Your participation is crucial in ensuring the Academy continues to serve the needs of our community and advance the field of pelvic health physical therapy. Thank you for contributing to this important process!

    Important Instructions:
    Please complete the form in one sitting, as refreshing the page may result in lost information. To avoid any issues, refrain from refreshing or closing the window until your form has been successfully submitted.

    Eligibility

    • APTA Pelvic Health members
    • Non-members
  • General Information

  • General Information

  • YOUR ADVOCACY EXPERIENCE

  • Advocacy Involvement

  • HOUSE OF DELEGATES

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    When ready, click on "Submit" so that we can record your response.

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