2008 Walk MS Evaluation
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1. Section I
About You
1
. Please tell us a little bit about yourself.
Please tell us a little bit about yourself.
Name:
Email Address:
Phone Number:
*
2
. Are You:
Are You:
Male
Female
3
. How long have you been participating in Walk MS?
How long have you been participating in Walk MS?
First Year
2-4 Years
5-10 Years
10+ Years
4
. Are you:
Are you:
<18
18-25
26-34
35-44
45-54
55 or older
5
. How did you hear about Walk MS? (Mark all that apply)
How did you hear about Walk MS? (Mark all that apply)
Friend, Family Member or Co-Worker
Brochure from a store
Information sent to your home
Internet
NMSS Chapter Newsletter
Radio/TV/Newspaper
6
. How did you register for Walk MS?
How did you register for Walk MS?
Internet
Phone
Mail
Fax
7
. Why did you participate in the Walk MS? (Check all that apply.)
Why did you participate in the Walk MS? (Check all that apply.)
I have MS
In honor of someone with MS
For fun
Part of a team
Exercise
Asked by a friend
To support the MS Society mission
8
. If you are not on a team this year, would you be interested in starting one next year?
If you are not on a team this year, would you be interested in starting one next year?
Yes
No
n/a
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