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Expand your Capacity

Thank you for completing my The Capacity Shift workshop. I truly hope that it has started a journey of transformation in your life. I would love to hear your feedback on the course, receive your testimony and get any referrals from you on people who you think would benefit from this program. Hearing from you will help me to improve how I touch people's lives.

 
Please complete the feedback form even if you do not require CPD points.  The course ends 18 August 2025!
 

Apply for CPD Points – Deadline: 25 August 2025
This CPD course is already accredited by the HPCSA through OTASA. 

Incorrect HPCSA Numbers: 

We are experiencing difficulties when applying for CPD. Please make this easier for us. 

People provide us with the incorrect HPCSA Number (This happens so frequently)

Your HPCSA Number has a prefix: OT, PT, MD, SP etc. This has to always be included

Your HPCSA Number consists of 7 digits: 0034991 (no more and no less).  

Correct Example: OT0034991

Click the button below to start.

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Question 1 of 26

Full Name and Surname (As per HPCSA Registration) 

Question 2 of 26

Email

Question 3 of 26

Contact number

Question 4 of 26

HPCSA number 

(Please state the full number, including all letters and numbers example OT0034991)  

(No space after the prefix). 

Please double check your number, as we are having many submission issues with incorrect submissions.

Question 5 of 26

I confirm that I have completed and either attended live or watched all 3 sessions in this workshop

A

Yes

B

No

Question 6 of 26

Profession

A

Occupational Therapist

B

Speech & Language Therapist

C

Audiologist

D

Physiotherapist

E

Biokineticist

F

Orthoist

G

Dietitian

H

Psychologist

I

Counsellor

J

Medical Practitioner

K

Other

Question 7 of 26

How did you discover my program? 

A

Through My Association

B

Word of mouth from a friend

C

Word of mouth from a colleague

D

WA advertising

E

Facebook advertising

F

Website

G

Instagram

H

Direct email from Adri Geyer

I

Other

Question 8 of 26

Do you want to join my Year Long Coaching?

A

Yes

B

No

C

Maybe

Question 9 of 26

What question do you maybe have before joining? 

Question 10 of 26

What problem where you looking to solve when you found my program?  What crisis or problem are you facing at present that brought you to this coaching?  What impact has it had on your life so far.

 

I really want to understand how you are possible overworking, at burnout or trying to keep the boat a float. What guilts or shames are you experiencing etc. Go ahead tell me your story. 

Question 11 of 26

How has The Capacity Shift workshop helped you improve your clinical decision-making or service delivery?

Question 12 of 26

How has the The Capacity Shift workshop helped your capacity? or enabled you to expand your capacity?

Question 13 of 26

Have you changed any aspect of your patient interactions or professional approach as a result of this workshop?   

A

Yes

B

No

Question 14 of 26

If yes what changes have you implemented or are you thinking of implementing?

Question 15 of 26

How has this workshop contributed to your professional growth and confidence in private practice? 

Question 16 of 26

How has the workshop influenced your understanding of ethical considerations and managing aspects of private practice?   

Question 17 of 26

What was the most impactful concept from the workshop that you have applied in your professional life?   

Question 18 of 26

Healthcare professionals have a duty to maintain their well-being to ensure they can provide quality patient care. Has this workshop equipped you with emotional and cognitive strategies to manage stress around your practice, prevent burnout and uphold ethical patient care? If yes, explain why and how. 

Question 19 of 26

Have you experienced a shift in your emotional well-being (e.g. reduced stress, improved confidence) regarding work-life balance since the workshop?  Please explain. 

Question 20 of 26

Did the workshop help you feel more in control of your personal, professional and practical decisions? 

Question 21 of 26

In what way does this workshop contribute to continuing professional development in healthcare?  

Question 22 of 26

Please share how you experienced the training sessions, the content, facilitation or anything else you would like to add. 

Question 23 of 26

What was it like working with Adri Geyer? 

Question 24 of 26

Which lesson did you find most relevant? Mark all that apply? 

(Select all that apply)
A

Day 1: Capacity is a choice

B

Day 2: Staying out of burnout

C

Day 3: Capacity for failure

Question 25 of 26

Please provide the name and contact details of any person you think would benefit from coaching, or the information you learned during this program. Give me their name & contact details.

Question 26 of 26

I give marketing consent for my testimonial to be used with my name by Adri Geyer in her external communication.

A

I give permission

B

I do not give permission

Confirm and Submit