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I think more schools are starting to prioritize CASPer scores. Everyone I know in the current OT program at Western was in the top percentile. 

I personally didn't really follow any prep for it but basically they are trying to see how you analyze difficult situations. Showing that you can consider all the people's perspectives, thought processes, feelings etc. will help with getting a better score. It's not about you picking a position and defending it, that is part of it but showing this large picture understanding is very important. 

I did have a friend though that bought the CASPer prep packages and did well and doesn't regret it. Definitely practice doing the test beforehand as it may help you understand what you need to work on. Being a good and fast typer also does help. 

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