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Hand and Wrist Biomechanics International (HWBI)

Email *

First/Given Name *

Last/Family Name *

Degree (select all that apply) *

PhD or equivalent

DPT

MPT

Masters

Bachelors

Other:

Required

Institute/University/Workplace

City *

Country *

Professional Interest (select all that apply) *

Research

Surgery

Rehabilitation/Therapy

Other:

Required

Professional Position (select all that apply) *

Professor or Faculty Member

Attending Physician

Therapist

Postdoctoral Fellow

Clinician Fellow

Clinical Resident

Doctoral Student

Medical Student

Master Student

Other:

Required

Have you previously attended a HWBI symposium?

Yes

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Rate your interest level in HWBI

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Are you interested in HWBI committee work?

Yes

Somewhat

Any other note:

A copy of your responses will be emailed to the address you provided.

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