Integrative Vision Therapy Workshop Survey
The purpose of this short survey is to gather topics of interest for parents and guardians. All responses that are collected will remain anonymous and confidential. The responses will inform how we conduct future workshops for parents/guardians. Please answer all questions to the best of your ability, and choose the answer that most accurately reflects your response. If you have any questions regarding the survey please email Sarah Sherlock at
In 2-3 sentences briefly describe a workshop topic that would benefit you. (Workshop topics do not need to be limited to vision.)
What do you hope to gain by participating in a workshop?
Which of the following topics is of most interest to you?
User-Friendly Approaches with Challenging Youth
Development and Common Misconceptions Associated with Childhood
Please indicate which age group your child and or children fall into:
Infancy-2 years old
3-5 years old
6-12 years old
13-18 years old
Please select at least one day of the week that you are available.
Please select at least one time of day that you are available.
Saturday Morning 8:00am-11:00am
Saturday Afternoon 12:00pm-3:00pm
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