Have you ever abused drugs or alcohol to an extent that it affected your professional competency?

Have you ever been convicted of a felony or a crime of moral turpitude?

Have you ever obtained or attempted to obtain a professional license by fraud or deception?

Have you ever been deemed grossly negligent in the practice of physical therapy?

Have you ever been adjudged mentally incompetent by a court of competent jurisdiction?

Have you ever been guilty of conduct unbecoming a person licensed as a physical therapist or of a conduct detrimental to the interest of the public?

Have you ever been found guilty of violating any state or federal narcotics law?

Have you ever treated or attempted to treat a human ailment suffered by one of your patients using methods other than physical therapy?

Have you ever advertised unethically or in contradiction to advertising standards set by the Board?

Have you ever failed to obey any lawful order or regulation of the Board?

Have you ever undergone treatment for alcohol or chemical dependency?

Are there any criminal charges pending against you?

Have you notified FSBPT to send your NPTE score report to Alabama?

Were you originally licensed after taking an examination other than the National Physical Therapy Examination?

Has your license to practice physical therapy ever been suspended, placed on probation or revoked?

Has any other jurisdiction ever declined your application for professional licensure?