Chapter Interest Survey - National Association of Black Physical Therapists, Inc.

Chapter Interest Survey

This brief survey is designed to understand community interest, needs, and preferences related to a potential new NABPT chapter location. Your feedback will ensure the location best serves those who may benefit from it. This survey will only take a few minutes to complete and includes a mix of short-answer and checkbox questions. Please answer each question based on your experience or preferences by selecting the options that apply or writing a brief response where requested.

Fields marked with an * are required.

Please verify that you have checked the “I'm not a robot” checkbox.

Email *

First Name *

Last Name *

Phone

What is your current profession status or credential? *

Please list your Physical Therapist/Physical Therapist Assistant license number (clinicians only)

City/Region you would like to establish a chapter *

How far would you be willing to travel to another nearby city for meetings/events? *

How interested are you in establishing a chapter for NABPT? *

4 (High)

Do you know any colleagues or peers who may be interested in helping establish a new NABPT location *

(within your local area)

Yes

If yes, how many colleagues or peers might be interested?

How often would you be willing to participate in chapter activities *

Would you be willing to serve in a leadership, organizing, or volunteering role for the chapter? *

Yes

How many hours per month would you be able to commit each month? *

Administrative tasks for NABPT typically require at least 4 hours per month

Are you interested in starting a chapter or a collective?

Collectives are our smaller entities that have less than 20 members and are not registered organizations with the state. The goal for collectives is to transition into a full size chapter or be a small group in areas with fewer black PT's/PTA's.

Chapter

Collective

No preference